Provider Demographics
NPI:1124649066
Name:EMINENT HOSPICE, INC.
Entity type:Organization
Organization Name:EMINENT HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:EXEL STANLEY
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-421-7138
Mailing Address - Street 1:445 W DAKOTA AVE STE C
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93705-2901
Mailing Address - Country:US
Mailing Address - Phone:559-421-7138
Mailing Address - Fax:
Practice Address - Street 1:445 W DAKOTA AVE STE C
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93705-2901
Practice Address - Country:US
Practice Address - Phone:559-421-7138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-01
Last Update Date:2023-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based