Provider Demographics
NPI:1841757044
Name:TREE OF XENIA PALLIATIVE & HOSPICE CARE
Entity Type:Organization
Organization Name:TREE OF XENIA PALLIATIVE & HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:PINGUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-580-9070
Mailing Address - Street 1:9121 HAVEN AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-8564
Mailing Address - Country:US
Mailing Address - Phone:909-580-9070
Mailing Address - Fax:909-580-9071
Practice Address - Street 1:9121 HAVEN AVE STE 130
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-8564
Practice Address - Country:US
Practice Address - Phone:909-580-9070
Practice Address - Fax:909-580-9071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-23
Last Update Date:2019-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based