Provider Demographics
NPI:1356682256
Name:VESTA HOSPICE, INC.
Entity Type:Organization
Organization Name:VESTA HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MA CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALGADO-CORTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-816-6925
Mailing Address - Street 1:41689 ENTERPRISE CIR N STE 214
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-5630
Mailing Address - Country:US
Mailing Address - Phone:951-816-6925
Mailing Address - Fax:951-816-6926
Practice Address - Street 1:41689 ENTERPRISE CIR N STE 214
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5630
Practice Address - Country:US
Practice Address - Phone:951-816-6925
Practice Address - Fax:951-816-6926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based