Provider Demographics
NPI:1386261568
Name:ALLAY 4 HOSPICE INC
Entity type:Organization
Organization Name:ALLAY 4 HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:M. ILYAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHOOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-493-2197
Mailing Address - Street 1:9227 HAVEN AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-5457
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9227 HAVEN AVE STE 215
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-5457
Practice Address - Country:US
Practice Address - Phone:248-894-7017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-03
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based