Provider Demographics
NPI:1124794888
Name:UNIVERSAL PALLIATIVE & HOSPICE CARE INC
Entity type:Organization
Organization Name:UNIVERSAL PALLIATIVE & HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:YURIY
Authorized Official - Middle Name:
Authorized Official - Last Name:VAYNSHTEYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-777-4330
Mailing Address - Street 1:21054 SHERMAN WAY STE 210-A
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1777
Mailing Address - Country:US
Mailing Address - Phone:747-777-4330
Mailing Address - Fax:747-777-4331
Practice Address - Street 1:21054 SHERMAN WAY STE 210-A
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1777
Practice Address - Country:US
Practice Address - Phone:747-777-4330
Practice Address - Fax:747-777-4331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based