Provider Demographics
NPI:1467897843
Name:HOSPICE PREFERRED CHOICE, INC.
Entity Type:Organization
Organization Name:HOSPICE PREFERRED CHOICE, INC.
Other - Org Name:ASERACARE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:RASMUSSEN-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-201-4835
Mailing Address - Street 1:3203 W MARCH LN STE 140
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95219-2365
Mailing Address - Country:US
Mailing Address - Phone:209-474-8349
Mailing Address - Fax:209-474-8356
Practice Address - Street 1:3203 W MARCH LN STE 140
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95219
Practice Address - Country:US
Practice Address - Phone:209-474-8349
Practice Address - Fax:209-474-8356
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOMECARE PREFERRED CHOICE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-04-30
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based