Provider Demographics
NPI:1013432087
Name:NEIGHBORHOOD HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:NEIGHBORHOOD HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:HENJIE OLIVER
Authorized Official - Middle Name:DONATO
Authorized Official - Last Name:FESTEJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-608-0075
Mailing Address - Street 1:600 N MOUNTAIN AVE STE C205E
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4359
Mailing Address - Country:US
Mailing Address - Phone:909-608-0075
Mailing Address - Fax:909-608-0076
Practice Address - Street 1:600 N MOUNTAIN AVE STE C205E
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4359
Practice Address - Country:US
Practice Address - Phone:909-608-0075
Practice Address - Fax:909-608-0076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based