Provider Demographics
NPI:1558038794
Name:ALLIANCE PARADISE HOSPICE INC
Entity Type:Organization
Organization Name:ALLIANCE PARADISE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-556-5089
Mailing Address - Street 1:2063 S ATLANTIC BLVD STE 304
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-6366
Mailing Address - Country:US
Mailing Address - Phone:323-691-8643
Mailing Address - Fax:
Practice Address - Street 1:2063 S ATLANTIC BLVD STE 304
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-6366
Practice Address - Country:US
Practice Address - Phone:323-691-8643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based