Provider Demographics
NPI:1124070503
Name:AMERICARE HOSPICE CORPORATION
Entity type:Organization
Organization Name:AMERICARE HOSPICE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZAKHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:VAYNEROV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-690-2961
Mailing Address - Street 1:7697 9TH ST
Mailing Address - Street 2:206
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-2898
Mailing Address - Country:US
Mailing Address - Phone:714-690-2961
Mailing Address - Fax:714-690-2978
Practice Address - Street 1:7697 9TH ST
Practice Address - Street 2:206
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-2898
Practice Address - Country:US
Practice Address - Phone:714-690-2961
Practice Address - Fax:714-690-2978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based