BRENTON HOSPICE INC. NPI 1780139964

NPI Information

NPI: 1780139964
Provider Name: BRENTON HOSPICE INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2127685

Address:
8560 VINEYARD AVENUE
SUITE 410
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 727-3707
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BRENTON HOSPICE INC. is a hospice care community based in Rancho Cucamonga, CA. BRENTON HOSPICE INC. NPI is 1780139964. The provider is registered as an organization entity type.

The provider's business location address is:

8560 VINEYARD AVENUE
SUITE 410
RANCHO CUCAMONGA, CA
ZIP 91730-349
Phone: (909) 727-3707
Fax: (909) 727-3326

The provider's authorized official is Scott Mong .
The authorized official title is President and has the following contact phone number (909) 727-3707.

The CLIA number assigned to this NPI record is 05D2127685 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2016 and was last updated on 6/21/2018.

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				No
2	251G00000X	Hospice Care, Community Based		550003871	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: 11/14/2023

NPI Synchronization or Removal

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