JOURNEY HOSPICE CARE INC. NPI 1255862389

NPI Information

NPI: 1255862389
Provider Name: JOURNEY HOSPICE CARE INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2178246

Address:
5050 PALO VERDE ST
SUITE 205
MONTCLAIR, CA
ZIP 91763
Phone: (909) 399-3945
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JOURNEY HOSPICE CARE INC. is a hospice care community based in Montclair, CA. JOURNEY HOSPICE CARE INC. NPI is 1255862389. The provider is registered as an organization entity type.

The provider's business location address is:

5050 PALO VERDE ST
SUITE 205
MONTCLAIR, CA
ZIP 91763-329
Phone: (909) 399-3945

The provider's authorized official is Jasmin Avila .
The authorized official title is President and has the following contact phone number (909) 399-3945.

The CLIA number assigned to this NPI record is 05D2178246 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2017 and was last updated on 3/21/2017.

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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