Provider Demographics
NPI:1497104681
Name:ONORIA HOSPICE SERVICES
Entity Type:Organization
Organization Name:ONORIA HOSPICE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:PATACSIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-398-0156
Mailing Address - Street 1:5050 PALO VERDE ST STE 120
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2333
Mailing Address - Country:US
Mailing Address - Phone:909-398-0156
Mailing Address - Fax:909-398-0332
Practice Address - Street 1:5050 PALO VERDE ST STE 120
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2333
Practice Address - Country:US
Practice Address - Phone:909-398-0156
Practice Address - Fax:909-398-0332
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONORIA HEALTH CARE PROVIDER, INC. HOME HEALTH AND HOSPICE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based