Healthcare Provider Details
I. General information
NPI: 1316507031
Provider Name (Legal Business Name): ALL STAR HOSPICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/14/2019
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25096 JEFFERSON AVE STE D
MURRIETA CA
92562-1706
US
IV. Provider business mailing address
25096 JEFFERSON AVE STE D
MURRIETA CA
92562-1706
US
V. Phone/Fax
- Phone: 951-200-6695
- Fax: 951-309-9748
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALEX
DAVILA
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 951-200-6695