Provider Demographics
NPI:1366016438
Name:RIVERDALE HOSPICE AND PALLIATIVE CARE, INC.
Entity Type:Organization
Organization Name:RIVERDALE HOSPICE AND PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LORENZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-440-8433
Mailing Address - Street 1:560 N ARROWHEAD AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92401-1214
Mailing Address - Country:US
Mailing Address - Phone:909-440-8433
Mailing Address - Fax:909-440-8473
Practice Address - Street 1:560 N ARROWHEAD AVE STE 2
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92401-1214
Practice Address - Country:US
Practice Address - Phone:909-440-8433
Practice Address - Fax:909-440-8473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based