Provider Demographics
NPI:1811566904
Name:ONE VISION HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:ONE VISION HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBILLAR
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:909-660-8875
Mailing Address - Street 1:600 N MOUNTAIN AVE STE C205F
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4315
Mailing Address - Country:US
Mailing Address - Phone:909-660-8875
Mailing Address - Fax:909-660-8895
Practice Address - Street 1:600 N MOUNTAIN AVE STE C205F
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4315
Practice Address - Country:US
Practice Address - Phone:909-660-8875
Practice Address - Fax:909-660-8895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based