| Organization Name: | INTRA CARE HOSPICE INC. |
| NPI Number: | 1699135251 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIONALYN CATEDRILLA UGBEBOR (PRESIDENT/CEO) |
| Mailing Address: | 3251 W 6th St Suite 418 Los Angeles |
| State: | CA US |
| Postal Code: | 900205023 |
| Phone Number: | 2133855301 |
| Fax Number: | 2133855343 |
| NPI Enumeration Date: | 02/25/2016 |
| NPI Last Update Date: | 02/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 550001615 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |