Provider Demographics
NPI:1437606787
Name:ONE CARE HOSPICE OF CALIFORNIA, LLC
Entity Type:Organization
Organization Name:ONE CARE HOSPICE OF CALIFORNIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BLISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-784-3500
Mailing Address - Street 1:3350 SHELBY ST
Mailing Address - Street 2:SUITE 370A
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91764-4882
Mailing Address - Country:US
Mailing Address - Phone:909-784-3500
Mailing Address - Fax:909-620-0789
Practice Address - Street 1:3350 SHELBY ST
Practice Address - Street 2:SUITE 370A
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-4882
Practice Address - Country:US
Practice Address - Phone:909-784-3500
Practice Address - Fax:909-620-0789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-03
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based