Provider Demographics
NPI:1689943193
Name:CHARTER HOSPICE, INC.
Entity Type:Organization
Organization Name:CHARTER HOSPICE, INC.
Other - Org Name:REGALS CHARTER HOSPICE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:R
Authorized Official - Last Name:SLAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-629-8220
Mailing Address - Street 1:1012 E COOLEY DR
Mailing Address - Street 2:SUITE G
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3950
Mailing Address - Country:US
Mailing Address - Phone:909-825-2969
Mailing Address - Fax:909-825-8751
Practice Address - Street 1:1012 E COOLEY DR
Practice Address - Street 2:SUITE G
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3950
Practice Address - Country:US
Practice Address - Phone:909-825-2969
Practice Address - Fax:909-825-8751
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REGALS HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based