Provider Demographics
NPI:1457729683
Name:LOVING CARE HOSPICE OF APPLE VALLEY
Entity Type:Organization
Organization Name:LOVING CARE HOSPICE OF APPLE VALLEY
Other - Org Name:LOVING CARE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PANSHI
Authorized Official - Suffix:
Authorized Official - Credentials:NA
Authorized Official - Phone:714-916-3303
Mailing Address - Street 1:7028 OAKCREST CT
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-2072
Mailing Address - Country:US
Mailing Address - Phone:973-873-0430
Mailing Address - Fax:760-881-3581
Practice Address - Street 1:15995 TUSCOLA RD
Practice Address - Street 2:SUITE 203
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2159
Practice Address - Country:US
Practice Address - Phone:973-873-0430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based