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NPI Code Detail

MEDICARE: COMPCARE HOSPICE, INC.

MEDICARE: COMPCARE HOSPICE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1972747046
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPCARE HOSPICE, INC.
Provider Business Mailing Address
First Line : 3550 WILSHIRE BLVD
Second Line : SUITE 1022
City : LOS ANGELES
State : CA
Zip : 90010
Country : US
Telephone Number : 323-782-0441
Fax Number : 323-782-1810
Provider Business Practice Location Address
First Line : 3550 WILSHIRE BLVD
Second Line : SUITE 1022
City : LOS ANGELES
State : CA
Zip : 90010
Country : US
Telephone Number : 323-782-0441
Fax Number : 323-782-1810
Authorized Official
Title or Position : CEO
Name : FAYE M MONTEGRANDE
Credential :
Telephone Number : 323-782-0441
Provider Enumeration Date : 04/20/2009
Last Update Date : 05/02/2014

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Directions to “COMPCARE HOSPICE, INC. ” Practice Location

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