Provider Demographics
NPI:1730853797
Name:A BETTER PLACE HOSPICE AND PALLIATIVE INC.
Entity type:Organization
Organization Name:A BETTER PLACE HOSPICE AND PALLIATIVE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ETHAN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:GOMES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:858-220-3070
Mailing Address - Street 1:2103 S EL CAMINO REAL STE 108B
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6280
Mailing Address - Country:US
Mailing Address - Phone:760-501-8486
Mailing Address - Fax:760-538-3328
Practice Address - Street 1:2103 S EL CAMINO REAL STE 108B
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6280
Practice Address - Country:US
Practice Address - Phone:760-501-8486
Practice Address - Fax:760-538-3328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-04
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based