Provider Demographics
NPI:1669710760
Name:24/7 HOSPICE
Entity type:Organization
Organization Name:24/7 HOSPICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CUONG
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-667-8888
Mailing Address - Street 1:3237 E GUASTI RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-1241
Mailing Address - Country:US
Mailing Address - Phone:951-667-8888
Mailing Address - Fax:951-848-7777
Practice Address - Street 1:3237 E GUASTI RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-1241
Practice Address - Country:US
Practice Address - Phone:951-667-8888
Practice Address - Fax:951-848-7777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-24
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based