ARBOR VITAE HOSPICE CARE INC. NPI 1578831129

NPI Information

NPI: 1578831129
Provider Name: ARBOR VITAE HOSPICE CARE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2044504

Address:
1780 TOWN AND COUNTRY DR STE 106
NORCO, CA
ZIP 92860
Phone: (951) 735-3485
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ARBOR VITAE HOSPICE CARE, INC. is a hospice care community based in Norco, CA. ARBOR VITAE HOSPICE CARE, INC. NPI is 1578831129. The provider is registered as an organization entity type.

The provider's business location address is:

1780 TOWN AND COUNTRY DR STE 106
NORCO, CA
ZIP 92860-618
Phone: (951) 735-3485
Fax: (951) 735-0900

The provider's authorized official is Faro T. Owiesy .
The authorized official title is Medical Director and has the following contact phone number (951) 907-8111.

The CLIA number assigned to this NPI record is 05D2044504 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2011 and was last updated on 9/29/2020.

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			CALIFORNIA	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: 5/5/2024

NPI Synchronization or Removal

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