Provider Demographics
NPI:1780019612
Name:EQUANIMITY HOSPICE & PALLIATIVE CARE, INC.
Entity Type:Organization
Organization Name:EQUANIMITY HOSPICE & PALLIATIVE CARE, INC.
Other - Org Name:HOSPICE OF IE AND OC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:ALHIR
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:909-777-3472
Mailing Address - Street 1:22365 BARTON RD
Mailing Address - Street 2:STE 100
Mailing Address - City:GRAND TERRACE
Mailing Address - State:CA
Mailing Address - Zip Code:92313-5015
Mailing Address - Country:US
Mailing Address - Phone:714-225-7894
Mailing Address - Fax:
Practice Address - Street 1:22365 BARTON RD
Practice Address - Street 2:STE 100
Practice Address - City:GRAND TERRACE
Practice Address - State:CA
Practice Address - Zip Code:92313-5015
Practice Address - Country:US
Practice Address - Phone:714-225-7894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-11
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC3598996OtherCORPORATION#