Provider Demographics
NPI:1154730331
Name:MAXIMUM HOSPICE AND PALLIATIVE CARE, INC.
Entity type:Organization
Organization Name:MAXIMUM HOSPICE AND PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DELFRADO
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLANUEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-469-0319
Mailing Address - Street 1:1429 N LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-5024
Mailing Address - Country:US
Mailing Address - Phone:626-469-0319
Mailing Address - Fax:626-311-3900
Practice Address - Street 1:1429 N LAKE AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91104-5024
Practice Address - Country:US
Practice Address - Phone:626-469-0319
Practice Address - Fax:626-314-3900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based