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AMBERCITY HOSPICE INC. NPI 1649580929


NPI Information

NPI: 1649580929
Provider Name: AMBERCITY HOSPICE INC.

Doing Business As: AMBERCITY HOSPICE INC.

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2031412

Address:
3590 CENTRAL AVE
SUITE 207
RIVERSIDE, CA
ZIP 92506
Phone: (951) 686-8100
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AMBERCITY HOSPICE INC. is a hospice care community based in Riverside, CA. AMBERCITY HOSPICE INC. NPI is 1649580929. The provider is registered as an organization entity type.
The provider Is Doing Business As Ambercity Hospice Inc..

The provider's business location address is:

3590 CENTRAL AVE
SUITE 207
RIVERSIDE, CA
ZIP 92506-708
Phone: (951) 686-8100
Fax: (951) 686-5500

The provider's authorized official is Dekki Jonas Mawikere .
The authorized official title is President and has the following contact phone number (909) 747-2072.

The CLIA number assigned to this NPI record is 05D2031412 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2010 and was last updated on 10/20/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

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

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