Provider Demographics
NPI:1447679873
Name:ADVENT HOPE HOSPICE, INC.
Entity type:Organization
Organization Name:ADVENT HOPE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CRISOSTOMO
Authorized Official - Middle Name:
Authorized Official - Last Name:ANIAG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-353-3797
Mailing Address - Street 1:1881 COMMERCENTER E
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3456
Mailing Address - Country:US
Mailing Address - Phone:909-353-3797
Mailing Address - Fax:855-351-4660
Practice Address - Street 1:1881 COMMERCENTER E
Practice Address - Street 2:SUITE 104
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3456
Practice Address - Country:US
Practice Address - Phone:909-353-3797
Practice Address - Fax:855-351-4660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based