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LIRA HOSPICE INC. NPI 1659669562


NPI Information

NPI: 1659669562
Provider Name: LIRA HOSPICE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2029525

Address:
6222 WILSHIRE BLVD STE 230
LOS ANGELES, CA
ZIP 90048
Phone: (323) 965-2263
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LIRA HOSPICE, INC. is a hospice care community based in Los Angeles, CA. LIRA HOSPICE, INC. NPI is 1659669562. The provider is registered as an organization entity type.

The provider's business location address is:

6222 WILSHIRE BLVD STE 230
LOS ANGELES, CA
ZIP 90048-130
Phone: (323) 965-2263
Fax: (323) 655-8502

The provider's authorized official is David Wittenberg .
The authorized official title is Administrator and has the following contact phone number (323) 965-2263.

The CLIA number assigned to this NPI record is 05D2029525 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2011 and was last updated on 12/16/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11659669562MEDICAIDCALIFORNIA

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: 4/28/2024

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