LIVING ANGELS HOSPICE CARE NPI 1376160358

NPI Information

NPI: 1376160358
Provider Name: LIVING ANGELS HOSPICE CARE
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2204623

Address:
4959 PALO VERDE ST STE 208C-1
MONTCLAIR, CA
ZIP 91763
Phone: (909) 675-7055
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LIVING ANGELS HOSPICE CARE is a hospice care community based in Montclair, CA. LIVING ANGELS HOSPICE CARE NPI is 1376160358. The provider is registered as an organization entity type.

The provider's business location address is:

4959 PALO VERDE ST STE 208C-1
MONTCLAIR, CA
ZIP 91763-360
Phone: (909) 675-7055
Fax: (877) 684-7043

The provider's authorized official is Hermie Davis .
The authorized official title is Ceo/president and has the following contact phone number (909) 675-7055.

The CLIA number assigned to this NPI record is 05D2204623 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2020 and was last updated on 6/25/2020.

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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