MIRAFAITH HOSPICE INC. NPI 1477689818

NPI Information

NPI: 1477689818
Provider Name: MIRAFAITH HOSPICE INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D1073274

Address:
7471 FOOTHILL BLVD
TUJUNGA, CA
ZIP 91042
Phone: (818) 951-9040
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MIRAFAITH HOSPICE INC. is a hospice care community based in Tujunga, CA. MIRAFAITH HOSPICE INC. NPI is 1477689818. The provider is registered as an organization entity type.

The provider's business location address is:

7471 FOOTHILL BLVD
TUJUNGA, CA
ZIP 91042-726
Phone: (818) 951-9040
Fax: (818) 951-9002

The provider's authorized official is Fernand Bamba Taruc .
The authorized official title is Administrator and has the following contact phone number (818) 951-9040.

The CLIA number assigned to this NPI record is 05D1073274 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 12/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	551549	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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