MEDICARE: HOME TOUCH HOSPICE AND PALLIATIVE CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1336585629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME TOUCH HOSPICE AND PALLIATIVE CARE, INC

Provider Business Mailing Address
First Line	:	8632 ARCHIBALD AVE STE 109
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91730-4665
Country	:	US
Telephone Number	:	909-346-2700
Fax Number	:	909-935-3855

Provider Business Practice Location Address
First Line	:	8632 ARCHIBALD AVE
Second Line	:	STE 109
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91730-4664
Country	:	US
Telephone Number	:	909-346-2700
Fax Number	:	909-935-3855

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. MARIA CRISTINA GOTOC
Credential	:
Telephone Number	:	909-346-2700

Provider Enumeration Date	:	05/14/2013
Last Update Date	:	05/14/2013

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