HEAVENLY CARE HOSPICE CORP NPI 1144243577

NPI Information

NPI: 1144243577
Provider Name: HEAVENLY CARE HOSPICE CORP
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
4959 PALO VERDE ST STE 106C
MONTCLAIR, CA
ZIP 91763
Phone: (909) 626-4242
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HEAVENLY CARE HOSPICE CORP is a hospice care community based in Montclair, CA. HEAVENLY CARE HOSPICE CORP NPI is 1144243577. The provider is registered as an organization entity type.

The provider's business location address is:

4959 PALO VERDE ST STE 106C
MONTCLAIR, CA
ZIP 91763-331
Phone: (909) 626-4242
Fax: (909) 626-4545

The provider's authorized official is Freda Joy Vasquez Primicias .
The authorized official title is Vice President/treasurer and has the following contact phone number (909) 626-4242.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 8/22/2020.

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				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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