Provider Demographics
NPI:1467074195
Name:NEXUS HOSPICE OF THE INLAND EMPIRE, LLC
Entity Type:Organization
Organization Name:NEXUS HOSPICE OF THE INLAND EMPIRE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROJECT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EVALINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OCEGUEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-662-6267
Mailing Address - Street 1:2155 E GARVEY AVE N STE B10
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-1509
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1325 E COOLEY DR STE 103
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3966
Practice Address - Country:US
Practice Address - Phone:909-757-8150
Practice Address - Fax:909-757-8170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-15
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based