Provider Demographics
NPI:1912333790
Name:CINTA HOSPICE CARE INC
Entity Type:Organization
Organization Name:CINTA HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTUDILLO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:909-625-5518
Mailing Address - Street 1:5050 PALO VERDE STREET
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763
Mailing Address - Country:US
Mailing Address - Phone:909-625-5518
Mailing Address - Fax:909-625-5520
Practice Address - Street 1:5050 PALO VERDE STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763
Practice Address - Country:US
Practice Address - Phone:909-625-5518
Practice Address - Fax:909-625-5520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-24
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251G00000X
CA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based