Provider Demographics
NPI:1396021143
Name:RELIANCE HOSPICE, INC.
Entity Type:Organization
Organization Name:RELIANCE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMAIO-MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-423-6924
Mailing Address - Street 1:74130 COUNTRY CLUB DR STE 103
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-1687
Mailing Address - Country:US
Mailing Address - Phone:760-423-6924
Mailing Address - Fax:760-406-6064
Practice Address - Street 1:74130 COUNTRY CLUB DR STE 103
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-1687
Practice Address - Country:US
Practice Address - Phone:760-423-6924
Practice Address - Fax:760-406-6064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-25
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA551699Medicare PIN