Provider Demographics
NPI:1699268243
Name:ALTRUITY HOME HEALTH & HOSPICE LLC
Entity type:Organization
Organization Name:ALTRUITY HOME HEALTH & HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:GORMLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-907-7677
Mailing Address - Street 1:15472 CHEMICAL LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-1220
Mailing Address - Country:US
Mailing Address - Phone:714-841-3700
Mailing Address - Fax:866-837-4458
Practice Address - Street 1:1675 SHAFFER RD
Practice Address - Street 2:
Practice Address - City:ATWATER
Practice Address - State:CA
Practice Address - Zip Code:95301-4456
Practice Address - Country:US
Practice Address - Phone:209-769-1154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based