Provider Demographics
NPI:1184393449
Name:AMORIST HOSPICE CARE INC
Entity type:Organization
Organization Name:AMORIST HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DINAH
Authorized Official - Middle Name:SABORDO
Authorized Official - Last Name:MEDENILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-582-5009
Mailing Address - Street 1:3001 RED HILL AVE STE 3-212
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-4548
Mailing Address - Country:US
Mailing Address - Phone:714-582-5009
Mailing Address - Fax:
Practice Address - Street 1:3001 RED HILL AVE STE 3-212
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4548
Practice Address - Country:US
Practice Address - Phone:949-698-0163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based