MEDICARE: ALEVE HOSPICE 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	:	1689018764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEVE HOSPICE CARE,INC.

Provider Business Mailing Address
First Line	:	8632 ARCHIBALD AVE
Second Line	:	SUITE 207
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91730-4664
Country	:	US
Telephone Number	:	909-466-5452
Fax Number	:	909-466-5408

Provider Business Practice Location Address
First Line	:	1763 JUNE LN
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91208-2315
Country	:	US
Telephone Number	:	818-468-5513
Fax Number	:	818-241-4322

Authorized Official
Title or Position	:	CEO
Name	:	MISS JEMAIMA CASTRO
Credential	:
Telephone Number	:	909-466-5452

Provider Enumeration Date	:	04/19/2013
Last Update Date	:	04/19/2013

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