Provider Demographics
NPI:1104436955
Name:MD CARE HOSPICE
Entity type:Organization
Organization Name:MD CARE HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RIMOUN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKHLOUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-455-1886
Mailing Address - Street 1:303 N GLENOAKS BLVD # 207
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1116
Mailing Address - Country:US
Mailing Address - Phone:562-800-4010
Mailing Address - Fax:562-800-4020
Practice Address - Street 1:303 N GLENOAKS BLVD # 207
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1116
Practice Address - Country:US
Practice Address - Phone:562-800-4010
Practice Address - Fax:562-800-4020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based