Healthcare Provider Details

I. General information

NPI: 1801148564
Provider Name (Legal Business Name): PRIORITY HOSPICE CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2012
Last Update Date: 10/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 W BADILLO ST STE 200
COVINA CA
91723-1832
US

IV. Provider business mailing address

410 W BADILLO ST STE 200
COVINA CA
91723-1832
US

V. Phone/Fax

Practice location:
  • Phone: 626-335-1082
  • Fax: 626-609-0430
Mailing address:
  • Phone: 626-335-1082
  • Fax: 626-609-0430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: MARY ANN LLAMAS GARCIA
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 626-335-1082