Provider Demographics
NPI:1093332694
Name:SEACLIFF HOSPICE INC.
Entity Type:Organization
Organization Name:SEACLIFF HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESITA
Authorized Official - Middle Name:ORDINARIO
Authorized Official - Last Name:CALSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:657-600-8223
Mailing Address - Street 1:1055 EL CAMINO DR STE F109
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-5579
Mailing Address - Country:US
Mailing Address - Phone:657-600-8223
Mailing Address - Fax:567-600-8015
Practice Address - Street 1:1055 EL CAMINO DR STE F109
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-5579
Practice Address - Country:US
Practice Address - Phone:657-600-8223
Practice Address - Fax:567-600-8015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based