Provider Demographics
NPI:1447517073
Name:ST MARY'S HOSPICE INC
Entity type:Organization
Organization Name:ST MARY'S HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:ALHIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-858-6100
Mailing Address - Street 1:809 S LEMON AVE
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91789-2906
Mailing Address - Country:US
Mailing Address - Phone:626-858-6100
Mailing Address - Fax:626-858-6201
Practice Address - Street 1:809 S LEMON AVE
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91789-2906
Practice Address - Country:US
Practice Address - Phone:626-858-6100
Practice Address - Fax:909-623-9970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-20
Last Update Date:2022-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based