=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053818062
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WARM CARE HOSPICE AND PALLIATIVE CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/07/2018
-----------------------------------------------------
Last Update Date | 02/24/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12550 BROOKHURST ST STE C
-----------------------------------------------------
City | GARDEN GROVE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92840-4834
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 657-233-5988
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12550 BROOKHURST ST STE C
-----------------------------------------------------
City | GARDEN GROVE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92840-4834
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 657-233-5988
-----------------------------------------------------
Fax | 714-591-5720
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/OWNER
-----------------------------------------------------
Name | ANA NSHANYAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 747-252-7999
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------