Provider Demographics
NPI:1104495795
Name:1 ACT PALLIATIVE AND HOSPICE CARE INC
Entity type:Organization
Organization Name:1 ACT PALLIATIVE AND HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:BICARME
Authorized Official - Last Name:BARENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-364-7083
Mailing Address - Street 1:15480 ARROW HWY STE 205
Mailing Address - Street 2:
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-1863
Mailing Address - Country:US
Mailing Address - Phone:626-364-7083
Mailing Address - Fax:626-889-6519
Practice Address - Street 1:15480 ARROW HWY STE 205
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-1863
Practice Address - Country:US
Practice Address - Phone:626-364-7083
Practice Address - Fax:626-889-6519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based