Provider Demographics
NPI:1386934701
Name:CARE ONE HOSPICE
Entity type:Organization
Organization Name:CARE ONE HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-342-3886
Mailing Address - Street 1:18520 BURBANK BLVD
Mailing Address - Street 2:#103
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2685
Mailing Address - Country:US
Mailing Address - Phone:818-342-3886
Mailing Address - Fax:
Practice Address - Street 1:18520 BURBANK BLVD
Practice Address - Street 2:#103
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2685
Practice Address - Country:US
Practice Address - Phone:818-342-3886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-19
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550001869251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA551664Medicare Oscar/Certification