Provider Demographics
NPI:1003485244
Name:NEIGHBOR CARE HOSPICE INC.
Entity type:Organization
Organization Name:NEIGHBOR CARE HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOMER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSALES
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:951-496-4325
Mailing Address - Street 1:1426 W 6TH ST STE 207
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-3037
Mailing Address - Country:US
Mailing Address - Phone:951-496-4325
Mailing Address - Fax:
Practice Address - Street 1:1426 W 6TH ST STE 207
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-3037
Practice Address - Country:US
Practice Address - Phone:951-496-4325
Practice Address - Fax:951-496-4352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based