Provider Demographics
NPI:1063769776
Name:STAR CARE HOSPICE INC
Entity type:Organization
Organization Name:STAR CARE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:LAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-593-8105
Mailing Address - Street 1:1768 ARROW HWY
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LA VERNE
Mailing Address - State:CA
Mailing Address - Zip Code:91750-5332
Mailing Address - Country:US
Mailing Address - Phone:909-593-8105
Mailing Address - Fax:909-593-8107
Practice Address - Street 1:1768 ARROW HWY
Practice Address - Street 2:SUITE 106
Practice Address - City:LA VERNE
Practice Address - State:CA
Practice Address - Zip Code:91750-5332
Practice Address - Country:US
Practice Address - Phone:909-593-8105
Practice Address - Fax:909-593-8107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based