Provider Demographics
NPI:1962080424
Name:KAELIN'S HOSPICE CARE, INC.
Entity type:Organization
Organization Name:KAELIN'S HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOCZAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-860-4019
Mailing Address - Street 1:7301 TOPANGA CANYON BLVD STE 370
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-3395
Mailing Address - Country:US
Mailing Address - Phone:818-860-4019
Mailing Address - Fax:818-860-4020
Practice Address - Street 1:7301 TOPANGA CANYON BLVD STE 370
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-3395
Practice Address - Country:US
Practice Address - Phone:747-777-8186
Practice Address - Fax:818-473-4558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based