Provider Demographics
NPI:1154766301
Name:LIFELINK HOSPICE & PALLIATIVE CARE, INC.
Entity type:Organization
Organization Name:LIFELINK HOSPICE & PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENCIANO-SISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-335-6173
Mailing Address - Street 1:211 W FOOTHILL BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-3357
Mailing Address - Country:US
Mailing Address - Phone:626-335-6173
Mailing Address - Fax:626-387-9651
Practice Address - Street 1:211 W FOOTHILL BLVD STE B
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-3357
Practice Address - Country:US
Practice Address - Phone:626-335-6173
Practice Address - Fax:626-387-9651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059067Medicare PIN