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General NPI Number Information
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NPI Number | 1467885178
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Entity Type | Organization
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Legal Business Name | ELITE CARE HOSPICE
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Dates
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Enumeration Date | 08/16/2013
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 8619 RESEDA BLVD STE 204
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4044
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Country | US
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Telephone | 747-202-3750
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Fax | 818-936-0810
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Provider Business Mailing Address
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Address Line | 8619 RESEDA BLVD STE 204
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4044
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Country | US
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Telephone | 747-202-3750
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Fax | 818-936-0810
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Authorized Official
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Title or Position | CFO
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Name | TEJA SINGH
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Credential | MD
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Telephone | 747-202-3750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 550002913
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License Number State | CA
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