Provider Demographics
NPI:1417004169
Name:RONALD A MORGAN
Entity Type:Organization
Organization Name:RONALD A MORGAN
Other - Org Name:WELLS HOUSE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:562-435-9363
Mailing Address - Street 1:245 CHERRY AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-3901
Mailing Address - Country:US
Mailing Address - Phone:562-435-9363
Mailing Address - Fax:562-435-9365
Practice Address - Street 1:245 CHERRY AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-3901
Practice Address - Country:US
Practice Address - Phone:562-435-9363
Practice Address - Fax:562-437-7572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHPC01715FMedicaid
CA051715Medicare ID - Type UnspecifiedPROVIDER NUMBER