REVITAL CARE HOSPICE, INC. (NPI# 1598774754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598774754 |
| Entity Type | Organization |
| Organization Name | REVITAL CARE HOSPICE, INC. |
| Practice Address |
711 N Alvarado St Ste 108 Los Angeles CA 90026-4016 |
| Practice Telephone | 2134848254 |
| Practice Fax Number | 2134848265 |
| Mailing Telephone | 2134848254 |
| Mailing Fax Number | 2134848265 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-08-29 |
| Authorized Official Name | MR. RICHARD TAN CHU (CEO) |
| Authorized Official Telephone | 2134848254 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315D00000X | Hospice, Inpatient | Nursing & Custodial Care Facilities |
| Street Address |
711 N ALVARADO ST STE 108 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90026-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497305684 | Mieshia Gaston | Technician | 831 Lucile Ave, 201, Los Angeles, CA 90026 | 2019-09-19 |
| 1265902928 | Shivangi Amin Md, Inc | Family Medicine | 701 N Alvarado St Fl 1, Los Angeles, CA 90026 | 2018-11-26 |
| 1013402478 | Guillermo Gonzalez Lopez | Social Worker | La Cada, 1773 Griffith Park, Los Angeles, CA 90026 | 2018-06-28 |
| 1720504343 | Nadia Jocelyn Munoz | Counselor | 155 N. Occidental Blvd., Los Angeles, CA 90026 | 2017-08-15 |
| 1518489434 | Paul Keeley | Marriage & Family Therapist | 321 North Larchmont Boulevard, Suite 808, Los Angeles, CA 90026 | 2017-07-12 |
| 1326598079 | Yen-chen Chen | Speech-Language Pathologist | 2836 Sunset Blvd., Los Angeles, CA 90026 | 2016-10-06 |
| 1386038446 | Grace Ann M Navos | Physical Therapy Assistant | 2708 Glassell St, Los Angeles, CA 90026 | 2015-03-26 |
| 1578964227 | Giselle Louise Jones | Social Worker | 1741 Silver Lake Blvd Ste 2a, Los Angeles, CA 90026 | 2014-09-12 |
| 1619394160 | Mary Ann Flores Topico | Nurse Practitioner | 1379 Angelina St., Los Angeles, CA 90026 | 2014-03-22 |
| 1447674981 | Tribeca Pediatrics, PC | Pediatrics | 2920 Sunset Blvd, Tribeca Pediatrics, Los Angeles, CA 90026 | 2014-02-04 |
| Find all providers in zip 90026 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649688821 | Blue Spirit Hospice, Inc. | Hospice, Inpatient | 1110 N Western Ave Ste 208, Los Angeles, CA 90029-1087 | 2014-07-31 |
| 1720393754 | Sunset Hospice Care LLC | Hospice, Inpatient | 1110 N Western Ave Ste 205, Los Angeles, CA 90029-1087 | 2010-08-14 |
| 1508011875 | Santa Margarita Hospice,inc. | Hospice, Inpatient | 3171 Los Feliz Blvd Ste 206, Los Angeles, CA 90039-1536 | 2008-11-30 |
| 1801958301 | Victory Community Hospice Inc | Hospice, Inpatient | 4760 S Figueroa St, Los Angeles, CA 90037-3159 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381236 | Malibu Hospice Inc | Hospice, Inpatient | 4301 Alonzo Ave, Encino, CA 91316-4308 | 2020-09-18 |
| 1881209039 | Hospice of Love and Care Group Inc | Hospice, Inpatient | 18344 Oxnard St Ste 208, Tarzana, CA 91356-6777 | 2020-09-14 |
| 1154957835 | Armani Oganyan | Hospice, Inpatient | 10523 Burbank Blvd Ste 104, North Hollywood, CA 91601-2235 | 2020-03-13 |
| 1235789462 | Sierra Care At The Lake,llc | Hospice, Inpatient | 33425 Globe Dr, Springville, CA 93265 | 2019-09-19 |
| 1851893291 | Heritage Crossing Fresno Inc. | Hospice, Inpatient | 2792 E Alluvial Ave, Clovis, CA 93611-9104 | 2018-03-01 |
| 1447761820 | Trusted Hospice Care | Hospice, Inpatient | 17915 Ventura Blvd Ste 233, Encino, CA 91316-4815 | 2017-10-12 |
| 1548631906 | United Hospice, Inc. | Hospice, Inpatient | 14638 Rodeo Dr, Victorville, CA 92395-4133 | 2015-10-12 |
| 1396131041 | Hdmc Holdings, LLC | Hospice, Inpatient | 6601 White Feather Rd Ste A-5, Joshua Tree, CA 92252-6607 | 2015-04-09 |
| 1073908315 | Empacare Homecare | Hospice, Inpatient | 7231 Boulder Ave., Ste 197, Highland, CA 92346 | 2015-04-03 |
| 1053714972 | Active Angel Caregiver Agency | Hospice, Inpatient | 13605 Heather Way, Hawthorne, CA 90250-6474 | 2014-10-06 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90026 |
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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.