Provider Demographics
NPI:1568844884
Name:AFFINITY HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:AFFINITY HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DESI
Authorized Official - Middle Name:
Authorized Official - Last Name:PONCE DE LEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-920-1576
Mailing Address - Street 1:6960 MAGNOLIA AVE
Mailing Address - Street 2:STE 204
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2805
Mailing Address - Country:US
Mailing Address - Phone:951-680-9985
Mailing Address - Fax:951-514-2806
Practice Address - Street 1:6960 MAGNOLIA AVE
Practice Address - Street 2:STE 204
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2805
Practice Address - Country:US
Practice Address - Phone:951-680-9985
Practice Address - Fax:951-514-2806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-23
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based