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General NPI Number Information
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NPI Number | 1023327772
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Entity Type | Organization
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Legal Business Name | SHEPHERD HOSPICE CARE INC
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 5455 WILSHIRE BLVD SUITE 700
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City | LOS ANGELES
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State | CA
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Zip | 90036-4201
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Country | US
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Telephone | 323-932-0500
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Fax | 323-932-0600
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Provider Business Mailing Address
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Address Line | 5455 WILSHIRE BLVD SUITE 700
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City | LOS ANGELES
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State | CA
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Zip | 90036-4201
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Country | US
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Telephone | 323-932-0500
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Fax | 323-932-0600
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MRS. ODETTE NAYROUZ
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Credential |
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Telephone | 323-932-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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