Organization Name: | OPTIMUM HOSPICE CARE, INC. |
NPI Number: | 1275857443 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OFELIA F SANTOS (CEO) |
Mailing Address: | 5652 Vineland Ave Ste 203 N Hollywood |
State: | CA US |
Postal Code: | 916012062 |
Phone Number: | 8183087493 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2010 |
NPI Last Update Date: | 05/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |