Provider Demographics
NPI:1417538026
Name:PALOMA HOSPICE INC.
Entity Type:Organization
Organization Name:PALOMA HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DULCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BERNAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-548-3817
Mailing Address - Street 1:13897 REDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-6010
Mailing Address - Country:US
Mailing Address - Phone:909-548-3817
Mailing Address - Fax:909-548-3813
Practice Address - Street 1:13897 REDWOOD AVE
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-6010
Practice Address - Country:US
Practice Address - Phone:909-548-3817
Practice Address - Fax:909-548-3813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based