Provider Demographics
NPI:1619255106
Name:HOAG HOSPICE LLC
Entity Type:Organization
Organization Name:HOAG HOSPICE LLC
Other - Org Name:N/A
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-836-3835
Mailing Address - Street 1:2230 W CHAPMAN AVE # 135
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2333
Mailing Address - Country:US
Mailing Address - Phone:714-460-2219
Mailing Address - Fax:714-385-2856
Practice Address - Street 1:2230 W CHAPMAN AVE # 135
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2333
Practice Address - Country:US
Practice Address - Phone:714-460-2219
Practice Address - Fax:714-385-2856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-01
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based