Provider Demographics
NPI:1457934234
Name:CONSTANT HOPE HOSPICE INC
Entity Type:Organization
Organization Name:CONSTANT HOPE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SALVACION
Authorized Official - Middle Name:
Authorized Official - Last Name:REATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-572-3024
Mailing Address - Street 1:2627 S WATERMAN AVE STE C
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3738
Mailing Address - Country:US
Mailing Address - Phone:909-572-3024
Mailing Address - Fax:
Practice Address - Street 1:2627 S WATERMAN AVE STE C
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3738
Practice Address - Country:US
Practice Address - Phone:909-572-3024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-30
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based