Provider Demographics
NPI:1376964791
Name:MERIDIAN HOSPICE CARE INC
Entity Type:Organization
Organization Name:MERIDIAN HOSPICE CARE INC
Other - Org Name:MERIDIAN HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GORDHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-484-4810
Mailing Address - Street 1:8400 MAPLE PL STE 109
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3874
Mailing Address - Country:US
Mailing Address - Phone:909-484-4810
Mailing Address - Fax:909-484-4271
Practice Address - Street 1:8400 MAPLE PL STE 109
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3874
Practice Address - Country:US
Practice Address - Phone:909-484-4810
Practice Address - Fax:909-484-4271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-03
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based