TREE OF XENIA PALLIATIVE & HOSPICE CARE NPI 1841757044

NPI Information

NPI: 1841757044
Provider Name: TREE OF XENIA PALLIATIVE & HOSPICE CARE
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2191298

Address:
9121 HAVEN AVE STE 130
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 580-9070
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TREE OF XENIA PALLIATIVE & HOSPICE CARE is a hospice care community based in Rancho Cucamonga, CA. TREE OF XENIA PALLIATIVE & HOSPICE CARE NPI is 1841757044. The provider is registered as an organization entity type.

The provider's business location address is:

9121 HAVEN AVE STE 130
RANCHO CUCAMONGA, CA
ZIP 91730-564
Phone: (909) 580-9070
Fax: (909) 580-9071

The provider's authorized official is Philip Pingul .
The authorized official title is President/ceo/administrator and has the following contact phone number (909) 580-9070.

The CLIA number assigned to this NPI record is 05D2191298 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2019 and was last updated on 2/23/2019.

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: 11/14/2023

NPI Synchronization or Removal

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