Provider Demographics
NPI:1164004008
Name:ALL AMERICAN HOSPICE & PALLIATIVE CARE, INC.
Entity Type:Organization
Organization Name:ALL AMERICAN HOSPICE & PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONI
Authorized Official - Middle Name:
Authorized Official - Last Name:EAPEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-655-8603
Mailing Address - Street 1:255 N D ST STE 200-XV
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92401-1735
Mailing Address - Country:US
Mailing Address - Phone:626-655-8603
Mailing Address - Fax:626-655-8602
Practice Address - Street 1:255 N D ST STE 200-XV
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92401-1735
Practice Address - Country:US
Practice Address - Phone:626-655-8603
Practice Address - Fax:626-655-8602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based