Provider Demographics
NPI:1528535523
Name:AMOR HOSPICE, LLC
Entity Type:Organization
Organization Name:AMOR HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES./CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIUS CAESAR
Authorized Official - Middle Name:VARILLA
Authorized Official - Last Name:BALDUEZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-392-5438
Mailing Address - Street 1:99 N SAN ANTONIO AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4575
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:99 N SAN ANTONIO AVE STE 310
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4575
Practice Address - Country:US
Practice Address - Phone:650-392-5438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-28
Last Update Date:2018-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based