Provider Demographics
NPI:1568046332
Name:ALLEVIANT CARE HOSPICE INC
Entity Type:Organization
Organization Name:ALLEVIANT CARE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JOY MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOISES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-298-0627
Mailing Address - Street 1:435 ORANGE SHOW LN STE 207
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-2032
Mailing Address - Country:US
Mailing Address - Phone:760-298-0627
Mailing Address - Fax:
Practice Address - Street 1:435 ORANGE SHOW LN STE 207
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-2032
Practice Address - Country:US
Practice Address - Phone:760-298-0627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-07
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based