=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114232154
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALWAYS 'TFY' HOSPICE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/14/2010
-----------------------------------------------------
Last Update Date | 10/16/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9064 PULSAR COURT STE E
-----------------------------------------------------
City | CORONA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92883
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-271-9742
-----------------------------------------------------
Fax | 951-755-8943
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9064 PULSAR COURT STE E
-----------------------------------------------------
City | CORONA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92883
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-271-9742
-----------------------------------------------------
Fax | 951-755-8943
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR/DPCS
-----------------------------------------------------
Name | DAISY GALILA TEGGE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 951-271-9742
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number | 550002238
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------