Provider Demographics
NPI:1902017916
Name:PEOPLES CARE HOSPICE, INC.
Entity Type:Organization
Organization Name:PEOPLES CARE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAISER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:626-665-1080
Mailing Address - Street 1:13920 CITY CENTER DR
Mailing Address - Street 2:SUITE 230 A
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-5432
Mailing Address - Country:US
Mailing Address - Phone:909-203-7999
Mailing Address - Fax:909-287-3485
Practice Address - Street 1:13920 CITY CENTER DR
Practice Address - Street 2:SUITE 230 A
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-5432
Practice Address - Country:US
Practice Address - Phone:909-203-7999
Practice Address - Fax:909-287-3485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
CA550000963251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based