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Contact Information

WELLCARE SPECIALIST HOSPICE INCORPORATED
12630 BROOKHURST ST
SUITE F
GARDEN GROVE, CA92840
 Phone: 714-462-6205
 Fax: 714-462-6255
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for WELLCARE SPECIALIST HOSPICE INCORPORATED

NPI # 1609234400
LBN Legal business name WELLCARE SPECIALIST HOSPICE INCORPORATED
Authorized official ROSEMARY TESORO - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2016
Last updated 06/01/2023 - About 3 years ago
Identifiers
CA Medicaid 1609234400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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