BRISTOL HOSPICE - INLAND EMPIRE LLC NPI 1043683170

NPI Information

NPI: 1043683170
Provider Name: BRISTOL HOSPICE - INLAND EMPIRE, LLC

Former Legal Business Name: DESTINY HOSPICE OF TEMECULA, LLC

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
6296 RIVER CREST DR STE L
RIVERSIDE, CA
ZIP 92507
Phone: (951) 358-6000
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BRISTOL HOSPICE - INLAND EMPIRE, LLC is a hospice care community based in Riverside, CA. BRISTOL HOSPICE - INLAND EMPIRE, LLC NPI is 1043683170. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Destiny Hospice Of Temecula, Llc.

The provider's business location address is:

6296 RIVER CREST DR STE L
RIVERSIDE, CA
ZIP 92507-738
Phone: (951) 358-6000
Fax: (951) 308-6009

The provider's authorized official is Hyrum A Kirton .
The authorized official title is President And Ceo and has the following contact phone number (801) 325-0175.

The CLIA number assigned to this NPI record is 05D2122545 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2015 and was last updated on 6/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		3820480	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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