Provider Demographics
NPI:1124424411
Name:TRUE CARE HOSPICE SOUTHERN CALIFORNIA, INC
Entity type:Organization
Organization Name:TRUE CARE HOSPICE SOUTHERN CALIFORNIA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FAYFEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-405-0078
Mailing Address - Street 1:7355 TOPANGA CANYON BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303
Mailing Address - Country:US
Mailing Address - Phone:818-405-0078
Mailing Address - Fax:
Practice Address - Street 1:7355 TOPANGA CANYON BLVD STE 201
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303
Practice Address - Country:US
Practice Address - Phone:818-405-0078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-13
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based