Provider Demographics
NPI:1063894152
Name:ONE STOP HOSPICE INC.
Entity type:Organization
Organization Name:ONE STOP HOSPICE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DILUVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-808-1912
Mailing Address - Street 1:2204 E 4TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3868
Mailing Address - Country:US
Mailing Address - Phone:714-808-1912
Mailing Address - Fax:714-844-9498
Practice Address - Street 1:2204 E 4TH ST STE 100
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3868
Practice Address - Country:US
Practice Address - Phone:714-808-1912
Practice Address - Fax:714-844-9498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based