Organization
LOS ANGELES HAVEN HOSPICE INC
Active
Other names
Haven Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN KEITZ (OWNER)
(562) 426-7500
Entity
Organization
Contact information
Practice address
2855 TEMPLE AVE, SIGNAL HILL, CA 90755-2212
(562) 426-7500
(562) 684-4689
Mailing address
2855 TEMPLE AVE, SIGNAL HILL, CA 90755-2212
(562) 426-7500
(562) 684-4689
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
980001358
CA
251G00000X
Community Based Hospice Care Agency
Primary
980001449
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051760
MEDICARE PROVIDER NUMBER
CA
01
—
HPC01760F
MEDI-CAL
CA
05
—
HPCO1718F
—
CA
Enumeration date
04/03/2006
Last updated
08/19/2014
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