Provider Demographics
NPI:1912545922
Name:CARE AND SUPPORT HOSPICE, INC.
Entity Type:Organization
Organization Name:CARE AND SUPPORT HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATIENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:NOIME
Authorized Official - Middle Name:
Authorized Official - Last Name:VALMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-321-5939
Mailing Address - Street 1:4959 PALO VERDE ST STE 206A-1
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2342
Mailing Address - Country:US
Mailing Address - Phone:909-741-5287
Mailing Address - Fax:
Practice Address - Street 1:4959 PALO VERDE ST STE 206A-1
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2342
Practice Address - Country:US
Practice Address - Phone:909-741-5287
Practice Address - Fax:888-639-0532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-20
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based