ST. JOSEPH HEALTHCARE AGENCY INC. NPI 1801399399

NPI Information

NPI: 1801399399
Provider Name: ST. JOSEPH HEALTHCARE AGENCY, INC.

Doing Business As: ST. JOSEPH HOSPICE & PALLIATIVE CARE

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

Address:
6550 VAN BUREN BLVD STE F
RIVERSIDE, CA
ZIP 92503
Phone: (909) 989-5383
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ST. JOSEPH HEALTHCARE AGENCY, INC. is a hospice care community based in Riverside, CA. ST. JOSEPH HEALTHCARE AGENCY, INC. NPI is 1801399399. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Joseph Hospice & Palliative Care.

The provider's business location address is:

6550 VAN BUREN BLVD STE F
RIVERSIDE, CA
ZIP 92503-544
Phone: (909) 989-5383

The provider's authorized official is Martins Aiyetiwa .
The authorized official title is President/ceo and has the following contact phone number (909) 989-7700.

The CLIA number assigned to this NPI record is 05D2177932 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2018 and was last updated on 3/12/2018.

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			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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