Provider Demographics
NPI:1679806418
Name:ST MICHAEL HOSPICE CARE INC
Entity type:Organization
Organization Name:ST MICHAEL HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:SALVATERA
Authorized Official - Last Name:AURELIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-357-8867
Mailing Address - Street 1:24248 CRENSHAW BLVD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5340
Mailing Address - Country:US
Mailing Address - Phone:310-357-8867
Mailing Address - Fax:424-772-1577
Practice Address - Street 1:24248 CRENSHAW BLVD
Practice Address - Street 2:SUITE 213
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5340
Practice Address - Country:US
Practice Address - Phone:310-357-8867
Practice Address - Fax:424-772-1577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization