Provider Demographics
NPI:1265807820
Name:ALL STAR HOSPICE INC
Entity type:Organization
Organization Name:ALL STAR HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TARIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:ANWAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-465-7103
Mailing Address - Street 1:41690 IVY ST STE B
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-9437
Mailing Address - Country:US
Mailing Address - Phone:800-465-7103
Mailing Address - Fax:800-465-7103
Practice Address - Street 1:41690 IVY ST STE B
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9437
Practice Address - Country:US
Practice Address - Phone:551-689-5031
Practice Address - Fax:951-677-7940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-08
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based