Provider Demographics
NPI:1568867695
Name:AMITY HOSPICE AND PALLIATIVE CARE, INC.
Entity Type:Organization
Organization Name:AMITY HOSPICE AND PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARINA ROSETTE
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-612-0899
Mailing Address - Street 1:11800 CENTRAL AVE
Mailing Address - Street 2:SUITE 121
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-7200
Mailing Address - Country:US
Mailing Address - Phone:626-588-8644
Mailing Address - Fax:
Practice Address - Street 1:11800 CENTRAL AVE
Practice Address - Street 2:SUITE 121
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-7200
Practice Address - Country:US
Practice Address - Phone:626-588-8644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-31
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based