PROFESSIONAL LIFECARE HOSPICE, INC. (NPI# 1285243386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285243386 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL LIFECARE HOSPICE, INC. |
| Practice Address |
8363 Reseda Blvd Unit 200b Northridge CA 91324-4623 |
| Practice Telephone | 8188186509 |
| Practice Fax Number | 8883158448 |
| Mailing Telephone | 8188186509 |
| Mailing Fax Number | 8883158448 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Authorized Official Name | MR. JAMES CONRAD CONTRERAS (CEO) |
| Authorized Official Telephone | 8188186509 |
| Authorized Official Credential | NURSE PRATITIONE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRIVERS LICENSE | E3594539 | 01 |
| Street Address |
8363 RESEDA BLVD UNIT 200B |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91324-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803461 | Endeavor Recovery LLC | Clinic/Center | 8537 Yolanda Ave, Northridge, CA 91324 | 2020-02-20 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1023674421 | Expo Diagnostics, Inc. | Clinic/Center | 8619 Receda Blvd., Northridge, CA 91324 | 2019-05-13 |
| 1235601444 | Grace Peprah | Marriage & Family Therapist | 19037 Community Street, Northridge, CA 91324 | 2018-12-28 |
| 1336635531 | Kristel Fortuny Bushner | Specialist/Technologist | 9555 Reseda Blvd, 309, Northridge, CA 91324 | 2018-07-11 |
| 1710474358 | Rara Enterprises Inc | Pharmacy | 19331 Business Center Dr., Ste. 100, Northridge, CA 91324 | 2018-04-19 |
| 1205343670 | Mariana Nicol Valdez Castro | Behavior Technician | 9335 Reseda Blvd # 101, Northridge, CA 91324 | 2018-01-05 |
| 1033655220 | Benyaminy and Kashani Dds,inc. | Clinic/Center | 8954 Reseda Blvd #100, Northridge, CA 91324 | 2017-01-11 |
| 1366809915 | Tia Brisco | Counselor | 9700 Reseda Blvd Ste 208, Northridge, CA 91324 | 2016-01-26 |
| 1053780189 | Saloni Kadakia | Student in an Organized Health Care Education/Training Program | Ucla Olive View, 14445 Olive View Dr, Sylmar, Ca 91342, CA 91324 | 2015-09-18 |
| Find all providers in zip 91324 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184814 | Mercy Villa Hospice,inc. | Hospice Care, Community Based | 9700 Reseda Blvd Ste 100, Northridge, CA 91324-2025 | 2020-11-05 |
| 1194323972 | Md Hospice Group | Hospice Care, Community Based | 16909 Parthenia St Ste 301, Northridge, CA 91343-4558 | 2020-10-13 |
| 1487266730 | Bravo Hospice & Palliative Care | Hospice Care, Community Based | 18531 Roscoe Blvd Ste 204, Northridge, CA 91324-5467 | 2020-08-18 |
| 1497373468 | North Valley Hospice Inc. | Hospice Care, Community Based | 9010 Corbin Ave Unit 4b-2, Northridge, CA 91324-3344 | 2020-07-07 |
| 1033736038 | Generous Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 8700 Reseda Blvd Ste 202b, Northridge, CA 91324-4189 | 2020-06-25 |
| 1326665324 | A Grade Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 8700 Reseda Blvd Ste 202e, Northridge, CA 91324-4041 | 2020-06-25 |
| 1275157273 | Family Choice Hospice Care | Hospice Care, Community Based | 16909 Parthenia St Ste 204a, Northridge, CA 91343-4551 | 2020-06-04 |
| 1114541729 | Tri Meadows Healthcare LLC | Hospice Care, Community Based | 8622 Reseda Blvd Ste 204, Northridge, CA 91324-4094 | 2020-05-31 |
| 1689298325 | Pnh Hospice Group | Hospice Care, Community Based | 16909 Parthenia St Ste 301a, Northridge, CA 91343-4551 | 2020-05-28 |
| 1033731617 | Idt Hospice Care Inc | Hospice Care, Community Based | 8363 Reseda Blvd Ste 209, Northridge, CA 91324-4623 | 2020-05-18 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91324 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.