Provider Demographics
NPI:1326328055
Name:ABSOLUTE COMPASSION HOSPICE LLC
Entity Type:Organization
Organization Name:ABSOLUTE COMPASSION HOSPICE LLC
Other - Org Name:ABSOLUTE COMPASSION HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:ORLANDO
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:801-369-7704
Mailing Address - Street 1:1172 E 100 N STE 10
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:UT
Mailing Address - Zip Code:84651-1691
Mailing Address - Country:US
Mailing Address - Phone:801-465-1331
Mailing Address - Fax:801-465-1661
Practice Address - Street 1:1172 E 100 N STE 10
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:UT
Practice Address - Zip Code:84651-1691
Practice Address - Country:US
Practice Address - Phone:801-465-1331
Practice Address - Fax:801-465-1661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-25
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT2011-HOSPICE-104167OtherSTATE LICENSE FOR HOSPICE