Provider Demographics
NPI:1689214173
Name:DIGNIFIED HOSPICE CARE
Entity Type:Organization
Organization Name:DIGNIFIED HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-977-8666
Mailing Address - Street 1:1700 HAMNER AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:NORCO
Mailing Address - State:CA
Mailing Address - Zip Code:92860-2963
Mailing Address - Country:US
Mailing Address - Phone:951-977-8666
Mailing Address - Fax:951-977-8674
Practice Address - Street 1:1700 HAMNER AVE STE 212
Practice Address - Street 2:
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-2963
Practice Address - Country:US
Practice Address - Phone:951-977-8666
Practice Address - Fax:951-977-8674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based