Provider Demographics
NPI:1962978429
Name:GEISS MED HOSPICE LLC
Entity type:Organization
Organization Name:GEISS MED HOSPICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:GEISS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:657-315-0858
Mailing Address - Street 1:5 HUTTON CENTRE DR STE 740
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-6709
Mailing Address - Country:US
Mailing Address - Phone:855-919-9393
Mailing Address - Fax:657-340-1017
Practice Address - Street 1:5 HUTTON CENTRE DR STE 740
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-6709
Practice Address - Country:US
Practice Address - Phone:855-919-9393
Practice Address - Fax:657-340-1017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based