Provider Demographics
NPI:1013277466
Name:HOSPICE CARE PROVIDERS, INC.
Entity Type:Organization
Organization Name:HOSPICE CARE PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REMEDIOS
Authorized Official - Middle Name:D
Authorized Official - Last Name:CU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-331-2437
Mailing Address - Street 1:9581 BUSINESS CENTER DR
Mailing Address - Street 2:BLDG. 12 SUITE H
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-4556
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9581 BUSINESS CENTER DR
Practice Address - Street 2:BLDG. 12 SUITE H
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4556
Practice Address - Country:US
Practice Address - Phone:909-331-2437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-19
Last Update Date:2012-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based