Provider Demographics
NPI:1669021747
Name:SEQUOIA HOSPICE, INC
Entity Type:Organization
Organization Name:SEQUOIA HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AMORINO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:559-765-1782
Mailing Address - Street 1:5874 E DWIGHT WAY
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-6213
Mailing Address - Country:US
Mailing Address - Phone:559-765-1782
Mailing Address - Fax:559-765-4783
Practice Address - Street 1:55 SHAW AVE STE 112
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-3819
Practice Address - Country:US
Practice Address - Phone:559-765-1782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based