Provider Demographics
NPI:1922447978
Name:METRO HOSPICE WEST VALLEY INC.
Entity Type:Organization
Organization Name:METRO HOSPICE WEST VALLEY INC.
Other - Org Name:ALTA LOMA HOSPICE INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:A
Authorized Official - Last Name:AQUINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-315-3550
Mailing Address - Street 1:337 N VINEYARD AVE STE 316
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91764-4457
Mailing Address - Country:US
Mailing Address - Phone:909-315-3550
Mailing Address - Fax:888-885-3680
Practice Address - Street 1:337 N VINEYARD AVE STE 316
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-4457
Practice Address - Country:US
Practice Address - Phone:909-315-3550
Practice Address - Fax:888-885-3680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-21
Last Update Date:2024-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based