Provider Demographics
NPI:1184151144
Name:HIGH STANDARD HOSPICE
Entity type:Organization
Organization Name:HIGH STANDARD HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARBI
Authorized Official - Middle Name:
Authorized Official - Last Name:MASIHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-399-3316
Mailing Address - Street 1:4710 BROOKS ST
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-4723
Mailing Address - Country:US
Mailing Address - Phone:909-399-3316
Mailing Address - Fax:909-494-7860
Practice Address - Street 1:4710 BROOKS ST
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-4723
Practice Address - Country:US
Practice Address - Phone:909-399-3316
Practice Address - Fax:909-494-7860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based