STARLIGHT OF HEMET LLC NPI 1659791721

NPI Information

NPI: 1659791721
Provider Name: STARLIGHT OF HEMET, LLC

Doing Business As: GRAND TERRACE HOSPICE

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

CLIA Number: 05D2087596

Address:
22737 BARTON RD
SUITE # 11
GRAND TERRACE, CA
ZIP 92313
Phone: (909) 693-5027
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STARLIGHT OF HEMET, LLC is a hospice care community based in Grand Terrace, CA. STARLIGHT OF HEMET, LLC NPI is 1659791721. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Terrace Hospice.

The provider's business location address is:

22737 BARTON RD
SUITE # 11
GRAND TERRACE, CA
ZIP 92313-262
Phone: (909) 693-5027
Fax: (888) 219-6448

The provider's authorized official is Marianne Del Corro Legaspi .
The authorized official title is President and has the following contact phone number (909) 693-5027.

The CLIA number assigned to this NPI record is 05D2087596 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2014 and was last updated on 5/18/2016.

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: 4/28/2024

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