Provider Demographics
NPI:1558867952
Name:HALLMARK HOMECARE, INC.
Entity type:Organization
Organization Name:HALLMARK HOMECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NONA
Authorized Official - Middle Name:
Authorized Official - Last Name:EVERHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-519-2500
Mailing Address - Street 1:9070 IRVINE CENTER DR STE 280
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-4692
Mailing Address - Country:US
Mailing Address - Phone:888-519-2500
Mailing Address - Fax:949-443-2074
Practice Address - Street 1:774 MAYS BLVD STE 10297
Practice Address - Street 2:
Practice Address - City:INCLINE VILLAGE
Practice Address - State:NV
Practice Address - Zip Code:89451-9759
Practice Address - Country:US
Practice Address - Phone:888-519-2500
Practice Address - Fax:949-443-2074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care