Provider Demographics
NPI:1346875911
Name:MY CHOICE HOSPICE INC.
Entity Type:Organization
Organization Name:MY CHOICE HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:GARCIA
Authorized Official - Last Name:JAUREQUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-365-0200
Mailing Address - Street 1:1050 E PALMDALE BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-4750
Mailing Address - Country:US
Mailing Address - Phone:661-365-0200
Mailing Address - Fax:661-878-9161
Practice Address - Street 1:1050 E PALMDALE BLVD STE 209
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-4750
Practice Address - Country:US
Practice Address - Phone:661-365-0200
Practice Address - Fax:661-878-9161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based