Provider Demographics
NPI:1073935664
Name:EXCELCARE HOSPICE, INC.
Entity Type:Organization
Organization Name:EXCELCARE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CEL ARDEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALSOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-300-5533
Mailing Address - Street 1:937 VIA LATA STE 200
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3971
Mailing Address - Country:US
Mailing Address - Phone:909-300-5533
Mailing Address - Fax:909-254-5904
Practice Address - Street 1:937 VIA LATA STE 200
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3971
Practice Address - Country:US
Practice Address - Phone:909-300-5533
Practice Address - Fax:909-254-5904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-16
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550002651251G00000X
251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based