Provider Demographics
NPI:1700280658
Name:HEALING HEARTS HOSPICE INC
Entity type:Organization
Organization Name:HEALING HEARTS HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JEMAIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-468-5513
Mailing Address - Street 1:11030 ARROW RTE STE 203B
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-4837
Mailing Address - Country:US
Mailing Address - Phone:818-468-5513
Mailing Address - Fax:818-241-4322
Practice Address - Street 1:11030 ARROW RTE STE 203B
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4837
Practice Address - Country:US
Practice Address - Phone:818-468-5513
Practice Address - Fax:818-241-4322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-21
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based