Healthcare Provider Details

I. General information

NPI: 1841517331
Provider Name (Legal Business Name): C@A HOSPICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2010
Last Update Date: 02/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WEST BROADWAY SUITE 1170
GLENDALE CA
91210-1217
US

IV. Provider business mailing address

100 WEST BROADWAY SUITE 1170
GLENDALE CA
91210-1217
US

V. Phone/Fax

Practice location:
  • Phone: 818-691-7201
  • Fax: 818-301-5012
Mailing address:
  • Phone: 818-691-7201
  • Fax: 818-301-5012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number550001614
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. ADOLFO CATBAGAN
Title or Position: CEO/PRESIDENT
Credential:
Phone: 818-691-7201