IVY HOSPICE CARE INC. NPI 1972909596

NPI Information

NPI: 1972909596
Provider Name: IVY HOSPICE CARE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2089436

Address:
545 N MOUNTAIN AVE STE 101
UPLAND, CA
ZIP 91786
Phone: (909) 931-5090
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IVY HOSPICE CARE, INC. is a hospice care community based in Upland, CA. IVY HOSPICE CARE, INC. NPI is 1972909596. The provider is registered as an organization entity type.

The provider's business location address is:

545 N MOUNTAIN AVE STE 101
UPLAND, CA
ZIP 91786-054
Phone: (909) 931-5090
Fax: (909) 931-5908

The provider's authorized official is Margarita Santiago Arcilla .
The authorized official title is President/ceo & Administrator and has the following contact phone number (909) 931-5090.

The CLIA number assigned to this NPI record is 05D2089436 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2014 and was last updated on 11/21/2022.

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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