Provider Demographics
NPI:1215521489
Name:CARPE DIEM HOSPICE, INC
Entity type:Organization
Organization Name:CARPE DIEM HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SABILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-223-6023
Mailing Address - Street 1:4959 PALO VERDE ST # 200C-2
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2331
Mailing Address - Country:US
Mailing Address - Phone:951-223-6023
Mailing Address - Fax:951-383-4099
Practice Address - Street 1:4959 PALO VERDE ST # 200C-2
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2331
Practice Address - Country:US
Practice Address - Phone:951-223-6023
Practice Address - Fax:951-383-4099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based