Provider Demographics
NPI:1700130556
Name:QUALITY CARE HOSPICE, INC.
Entity Type:Organization
Organization Name:QUALITY CARE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERLINDA
Authorized Official - Middle Name:T
Authorized Official - Last Name:BASILIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-862-8010
Mailing Address - Street 1:127 N LANG AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-2122
Mailing Address - Country:US
Mailing Address - Phone:626-862-8010
Mailing Address - Fax:
Practice Address - Street 1:127 N LANG AVE
Practice Address - Street 2:SUITE B
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-2122
Practice Address - Country:US
Practice Address - Phone:626-862-8010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based