Provider Demographics
NPI:1952969818
Name:OJAX HOSPICE, INC.
Entity Type:Organization
Organization Name:OJAX HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:OCELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-818-8141
Mailing Address - Street 1:1030 S ARROYO PKWY STE 208
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3262
Mailing Address - Country:US
Mailing Address - Phone:818-818-8141
Mailing Address - Fax:818-936-0215
Practice Address - Street 1:1030 S ARROYO PKWY STE 208
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3262
Practice Address - Country:US
Practice Address - Phone:818-818-8141
Practice Address - Fax:818-936-0215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based