Provider Demographics
NPI:1568089167
Name:CARE FROM THE HEART HOSPICE, LLC
Entity Type:Organization
Organization Name:CARE FROM THE HEART HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-825-0847
Mailing Address - Street 1:260 S ORANGE ST STE 11
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4143
Mailing Address - Country:US
Mailing Address - Phone:619-780-2704
Mailing Address - Fax:619-780-2764
Practice Address - Street 1:260 S ORANGE ST STE 11
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4143
Practice Address - Country:US
Practice Address - Phone:619-780-2704
Practice Address - Fax:619-780-2764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based