Provider Demographics
NPI:1689270688
Name:AZALEA HOSPICE
Entity Type:Organization
Organization Name:AZALEA HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NAPOLEON
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-533-7707
Mailing Address - Street 1:9778 KATELLA AVE STE 114
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-6446
Mailing Address - Country:US
Mailing Address - Phone:714-533-7707
Mailing Address - Fax:714-533-7071
Practice Address - Street 1:9778 KATELLA AVE STE 114
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-6446
Practice Address - Country:US
Practice Address - Phone:714-533-7707
Practice Address - Fax:714-533-7071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based