Provider Demographics
NPI:1285115600
Name:VALLEY COMMUNITY HOSPICE, INC.
Entity type:Organization
Organization Name:VALLEY COMMUNITY HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OFELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOTSACOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-283-3880
Mailing Address - Street 1:911 E SAN ANTONIO DR STE 8
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2204
Mailing Address - Country:US
Mailing Address - Phone:562-283-3880
Mailing Address - Fax:562-283-3870
Practice Address - Street 1:911 E SAN ANTONIO DR STE 8
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2204
Practice Address - Country:US
Practice Address - Phone:562-283-3880
Practice Address - Fax:562-283-3870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-23
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based