AFFECTIVE HOSPICE CARE INC. NPI 1548645302

NPI Information

NPI: 1548645302
Provider Name: AFFECTIVE HOSPICE CARE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2107459

Address:
5050 PALO VERDE ST
SUITE 208
MONTCLAIR, CA
ZIP 91763
Phone: (909) 962-7488
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AFFECTIVE HOSPICE CARE, INC. is a hospice care community based in Montclair, CA. AFFECTIVE HOSPICE CARE, INC. NPI is 1548645302. The provider is registered as an organization entity type.

The provider's business location address is:

5050 PALO VERDE ST
SUITE 208
MONTCLAIR, CA
ZIP 91763-329
Phone: (909) 962-7488
Fax: (909) 962-7322

The provider's authorized official is Justin Ivan Felipe .
The authorized official title is Ceo/owner and has the following contact phone number (909) 962-7488.

The CLIA number assigned to this NPI record is 05D2107459 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2015 and was last updated on 7/22/2015.

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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