Provider Demographics
NPI:1417532474
Name:SAMARITAN PALLIATIVE & HOSPICE CARE INC
Entity Type:Organization
Organization Name:SAMARITAN PALLIATIVE & HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-470-9888
Mailing Address - Street 1:3403 E PLAZA BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-4140
Mailing Address - Country:US
Mailing Address - Phone:619-470-9888
Mailing Address - Fax:
Practice Address - Street 1:3403 E PLAZA BLVD STE D
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-4140
Practice Address - Country:US
Practice Address - Phone:619-470-9888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based