Provider Demographics
NPI:1447486972
Name:FAMILY HOSPICE CARE, INC.
Entity type:Organization
Organization Name:FAMILY HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARPITA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHULLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-561-0718
Mailing Address - Street 1:255 E RINCON ST
Mailing Address - Street 2:315-A
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-1367
Mailing Address - Country:US
Mailing Address - Phone:951-231-2186
Mailing Address - Fax:951-808-4984
Practice Address - Street 1:255 E RINCON ST
Practice Address - Street 2:315-A
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-1367
Practice Address - Country:US
Practice Address - Phone:951-231-2186
Practice Address - Fax:951-808-4984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-10
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA551691OtherMEDICARE CCN
CA551691Medicare Oscar/Certification