Healthcare Provider Details

I. General information

NPI: 1750642435
Provider Name (Legal Business Name): LAS POSAS HOSPICE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2012
Last Update Date: 05/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 CARMEN DR STE # 202A
CAMARILLO CA
93010-3105
US

IV. Provider business mailing address

1601 CARMEN DR STE # 202A
CAMARILLO CA
93010-3105
US

V. Phone/Fax

Practice location:
  • Phone: 805-484-7284
  • Fax: 805-484-7294
Mailing address:
  • Phone: 805-484-7284
  • Fax: 805-484-7294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARMEN F CANO
Title or Position: RN SUPERVISOR
Credential: RN
Phone: 805-484-7284