Provider Demographics
NPI:1013595230
Name:AURORA HOSPICE, LLC.
Entity Type:Organization
Organization Name:AURORA HOSPICE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RELAMPAGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-246-9978
Mailing Address - Street 1:1930 S ALMA SCHOOL RD STE D201
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-3045
Mailing Address - Country:US
Mailing Address - Phone:323-246-9978
Mailing Address - Fax:
Practice Address - Street 1:1930 S ALMA SCHOOL RD STE D201
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3045
Practice Address - Country:US
Practice Address - Phone:323-246-9978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based