Provider Demographics
NPI:1003013178
Name:ST. CHRISTOPHER HOSPICE, INC.
Entity Type:Organization
Organization Name:ST. CHRISTOPHER HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DON ARTHUR
Authorized Official - Middle Name:PEDRIQUE
Authorized Official - Last Name:ESTUITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-996-4358
Mailing Address - Street 1:399 E HIGHLAND AVE
Mailing Address - Street 2:SUITE 116
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92404-3808
Mailing Address - Country:US
Mailing Address - Phone:909-475-5888
Mailing Address - Fax:
Practice Address - Street 1:399 E HIGHLAND AVE
Practice Address - Street 2:SUITE 116
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404-3808
Practice Address - Country:US
Practice Address - Phone:909-475-5888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based