Provider Demographics
NPI:1972864981
Name:ONORIA HEALTH CARE PROVIDER INC. HOME HEALTH AND HOSPICE SERVICES
Entity Type:Organization
Organization Name:ONORIA HEALTH CARE PROVIDER INC. HOME HEALTH AND HOSPICE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTUDILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-626-2859
Mailing Address - Street 1:5050 PALO VERDE ST STE 119
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2333
Mailing Address - Country:US
Mailing Address - Phone:909-626-2859
Mailing Address - Fax:
Practice Address - Street 1:5050 PALO VERDE ST STE 119
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2333
Practice Address - Country:US
Practice Address - Phone:909-626-2859
Practice Address - Fax:909-626-2572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health