Provider Demographics
NPI:1891275871
Name:MARY OF JOY HOSPICE, INC.
Entity Type:Organization
Organization Name:MARY OF JOY HOSPICE, INC.
Other - Org Name:MARY OF JOY HOSPICE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:J
Authorized Official - Middle Name:ORVILLE
Authorized Official - Last Name:ARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-447-4440
Mailing Address - Street 1:4706 BROOKS ST
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-4723
Mailing Address - Country:US
Mailing Address - Phone:909-447-4440
Mailing Address - Fax:844-328-4850
Practice Address - Street 1:4706 BROOKS ST
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-4723
Practice Address - Country:US
Practice Address - Phone:909-447-4440
Practice Address - Fax:844-328-4850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-18
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based