IMPERIAL HOSPICE INC. NPI 1134556012

NPI Information

NPI: 1134556012
Provider Name: IMPERIAL HOSPICE, INC.

Doing Business As: DEVOTED HEALTHCARE, INC.

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

Address:
363 S PARK AVE STE 105
POMONA, CA
ZIP 91766
Phone: (909) 992-1914
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IMPERIAL HOSPICE, INC. is a hospice care community based in Pomona, CA. IMPERIAL HOSPICE, INC. NPI is 1134556012. The provider is registered as an organization entity type.
The provider Is Doing Business As Devoted Healthcare, Inc..

The provider's business location address is:

363 S PARK AVE STE 105
POMONA, CA
ZIP 91766
Phone: (909) 992-1914
Fax: (909) 992-1913

The provider's authorized official is Ma Carmela Paez .
The authorized official title is Hospice Coordinator and has the following contact phone number (818) 292-5364.

The CLIA number assigned to this NPI record is 05D2170271 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/8/2013 and was last updated on 5/18/2019.

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				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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