NPI Registry.org

Professional Lifecare Hospice, Inc.

NPI Registration Record

Provider / OrganizationNPIDate Certified
PROFESSIONAL LIFECARE HOSPICE, INC.12852433862020-07-24
Entity TypeOrganization
Provider OrganizationPROFESSIONAL LIFECARE HOSPICE, INC.
Practice Office Address8363 RESEDA BLVD UNIT 200B
NORTHRIDGE, CA US
Practice Office Telephone8188186509
Practice Office Fax8883158448
Mailing Address8363 RESEDA BLVD UNIT 200B
NORTHRIDGE, CA 913244623 US
Business Telephone8188186509
Business Fax8883158448
Authorized OfficialJAMES CONRAD CONTRERAS, CEO
8188186509
Contact Endpoints
CONNECT URL []Northridge
HPT Codes
CodeLicense NoState
251G00000X PRIMARY
OPI Codes
E3594539 OTHER CA DRIVERS LICENSE
Governmental Registrations [CAGE/NCAGE/DUNS]

© 2020 NPIRegistry.org | Contact | Privacy Policy
45 CFR Part 162