Healthcare Provider Details

I. General information

NPI: 1134506421
Provider Name (Legal Business Name): SIMPLICITY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2015
Last Update Date: 06/12/2020
Certification Date: 06/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10523 BURBANK BLVD 111
NORTH HOLLYWOOD CA
91601-2233
US

IV. Provider business mailing address

10523 BURBANK BLVD 111
NORTH HOLLYWOOD CA
91601-2233
US

V. Phone/Fax

Practice location:
  • Phone: 818-697-4504
  • Fax: 818-697-4506
Mailing address:
  • Phone: 818-697-4504
  • Fax: 818-697-4506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. MAXIMO JOSON CABALAR JR.
Title or Position: CEO
Credential:
Phone: 818-697-4504