AVON HOSPICE CARE INC. NPI 1124365184

NPI Information

NPI: 1124365184
Provider Name: AVON HOSPICE CARE, INC.

Doing Business As: MANOR HOSPICE

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

Address:
9007 ARROW RTE STE 180
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 833-7579
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AVON HOSPICE CARE, INC. is a hospice care community based in Rancho Cucamonga, CA. AVON HOSPICE CARE, INC. NPI is 1124365184. The provider is registered as an organization entity type.
The provider Is Doing Business As Manor Hospice.

The provider's business location address is:

9007 ARROW RTE STE 180
RANCHO CUCAMONGA, CA
ZIP 91730-459
Phone: (909) 833-7579
Fax: (909) 833-7580

The provider's authorized official is Lulu Aquino .
The authorized official title is Ceo and has the following contact phone number (909) 481-7579.

The CLIA number assigned to this NPI record is 05D2117851 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2013 and was last updated on 10/21/2020.

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		550002342	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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