Provider Demographics
NPI:1871672303
Name:SOUTH VALLEY HOSPICE SERVICES INC
Entity Type:Organization
Organization Name:SOUTH VALLEY HOSPICE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EUGENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTOMAYOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-227-0070
Mailing Address - Street 1:30851 AGOURA RD STE 105
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-4343
Mailing Address - Country:US
Mailing Address - Phone:818-227-0070
Mailing Address - Fax:818-227-0090
Practice Address - Street 1:30851 AGOURA RD STE 105
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-4343
Practice Address - Country:US
Practice Address - Phone:818-227-0070
Practice Address - Fax:818-227-0090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherTAX ID