GENESIS HEALTH SERVICESINC. NPI 1710118443

NPI Information

NPI: 1710118443
Provider Name: GENESIS HEALTH SERVICES,INC.

Doing Business As: FOUNTAIN HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
2542 W 3RD ST
SUITE B
LOS ANGELES, CA
ZIP 90057
Phone: (213) 382-8761
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GENESIS HEALTH SERVICES,INC. is a hospice care community based in Los Angeles, CA. GENESIS HEALTH SERVICES,INC. NPI is 1710118443. The provider is registered as an organization entity type.
The provider Is Doing Business As Fountain Hospice.

The provider's business location address is:

2542 W 3RD ST
SUITE B
LOS ANGELES, CA
ZIP 90057-929
Phone: (213) 382-8761
Fax: (213) 382-8923

The provider's authorized official is Maria Theresa Ordonez Queja .
The authorized official title is Ceo/president and has the following contact phone number (213) 382-8761.

The enumeration date for this NPI number is 7/29/2009 and was last updated on 1/28/2011.

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

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

NPI Synchronization or Removal

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