Provider Demographics
NPI:1568850535
Name:QUALITY CHOICE HOSPICE INC.
Entity type:Organization
Organization Name:QUALITY CHOICE HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEREMIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-489-2667
Mailing Address - Street 1:6833 INDIANA AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-4223
Mailing Address - Country:US
Mailing Address - Phone:951-758-8584
Mailing Address - Fax:517-588-3919
Practice Address - Street 1:6833 INDIANA AVE STE 206
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-4223
Practice Address - Country:US
Practice Address - Phone:951-758-8584
Practice Address - Fax:951-758-8391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-29
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based