Provider Demographics
NPI:1811170327
Name:JASPER CARE HOSPICE, INC.
Entity type:Organization
Organization Name:JASPER CARE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-945-3418
Mailing Address - Street 1:646 W LANCASTER BLVD
Mailing Address - Street 2:SUITE #102
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-3127
Mailing Address - Country:US
Mailing Address - Phone:661-945-3418
Mailing Address - Fax:661-945-3495
Practice Address - Street 1:646 W LANCASTER BLVD
Practice Address - Street 2:SUITE #102
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3127
Practice Address - Country:US
Practice Address - Phone:661-945-3418
Practice Address - Fax:661-945-3495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based