Provider Demographics
NPI:1205381381
Name:GEO HOSPICE CARE INC.
Entity Type:Organization
Organization Name:GEO HOSPICE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:
Authorized Official - Last Name:KHULLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-267-6845
Mailing Address - Street 1:9607 BUSINESS CENTER DRIVE BLDG 13 STE G
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-4557
Mailing Address - Country:US
Mailing Address - Phone:909-267-6845
Mailing Address - Fax:909-293-0005
Practice Address - Street 1:9607 BUSINESS CENTER DR STE G
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4557
Practice Address - Country:US
Practice Address - Phone:909-267-6845
Practice Address - Fax:909-293-0005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-18
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based