Provider Demographics
NPI:1114339041
Name:UNIQUE CARE LOS ANGELES HOSPICE, INC.
Entity type:Organization
Organization Name:UNIQUE CARE LOS ANGELES HOSPICE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMIR JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESMAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:657-955-4577
Mailing Address - Street 1:12750 CENTER COURT DR S STE 240
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-8570
Mailing Address - Country:US
Mailing Address - Phone:877-359-2766
Mailing Address - Fax:855-469-1488
Practice Address - Street 1:12750 CENTER COURT DR S STE 240
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-8570
Practice Address - Country:US
Practice Address - Phone:877-359-2766
Practice Address - Fax:855-469-1488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based