Provider Demographics
NPI:1255862389
Name:JOURNEY HOSPICE CARE INC.
Entity type:Organization
Organization Name:JOURNEY HOSPICE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-521-2273
Mailing Address - Street 1:600 N MOUNTAIN AVE STE C203
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4367
Mailing Address - Country:US
Mailing Address - Phone:909-252-7073
Mailing Address - Fax:
Practice Address - Street 1:600 N MOUNTAIN AVE STE C203
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4367
Practice Address - Country:US
Practice Address - Phone:909-252-7073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-21
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based