Provider Demographics
NPI:1225417116
Name:TOTAL COMFORT HOSPICE CARE,INC.
Entity type:Organization
Organization Name:TOTAL COMFORT HOSPICE CARE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MRS
Authorized Official - First Name:YANIRA
Authorized Official - Middle Name:IVONNE
Authorized Official - Last Name:VALLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-669-6510
Mailing Address - Street 1:8250 FOOTHILL BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SUNLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91040-2879
Mailing Address - Country:US
Mailing Address - Phone:818-352-8022
Mailing Address - Fax:
Practice Address - Street 1:8250 FOOTHILL BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:SUNLAND
Practice Address - State:CA
Practice Address - Zip Code:91040-2879
Practice Address - Country:US
Practice Address - Phone:818-352-8022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-25
Last Update Date:2015-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0002790355-0001-9302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization