Provider Demographics
NPI:1134551898
Name:STERLING HOSPICE CARE, INC.
Entity type:Organization
Organization Name:STERLING HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:T
Authorized Official - Last Name:CANALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-777-0004
Mailing Address - Street 1:1007 E COOLEY DR STE 109
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3901
Mailing Address - Country:US
Mailing Address - Phone:909-777-0004
Mailing Address - Fax:909-777-0113
Practice Address - Street 1:1007 E COOLEY DR STE 109
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3901
Practice Address - Country:US
Practice Address - Phone:909-777-0004
Practice Address - Fax:909-777-0113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-05
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550002568251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based