Provider Demographics
NPI:1679708465
Name:HESTIA HOSPICE AND PALLIATIVE CARE CORP
Entity Type:Organization
Organization Name:HESTIA HOSPICE AND PALLIATIVE CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOIE
Authorized Official - Middle Name:MIRANDO
Authorized Official - Last Name:TAGUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-578-4039
Mailing Address - Street 1:15545 DEVONSHIRE ST STE 311
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-3302
Mailing Address - Country:US
Mailing Address - Phone:800-578-4039
Mailing Address - Fax:800-376-4054
Practice Address - Street 1:15545 DEVONSHIRE ST STE 311
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-3302
Practice Address - Country:US
Practice Address - Phone:800-578-4039
Practice Address - Fax:800-376-4054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-21
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based