Provider Demographics
NPI:1821024381
Name:WEST COAST HOSPICE, INC.
Entity Type:Organization
Organization Name:WEST COAST HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-484-1491
Mailing Address - Street 1:10670 CIVIC CENTER DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-7625
Mailing Address - Country:US
Mailing Address - Phone:909-484-1491
Mailing Address - Fax:909-373-1670
Practice Address - Street 1:10670 CIVIC CENTER DR
Practice Address - Street 2:SUITE 110
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-7625
Practice Address - Country:US
Practice Address - Phone:909-484-1491
Practice Address - Fax:909-373-1670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA048233251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based