CITI CARE CORPORATION NPI 1104260512

NPI Information

  • NPI: 1104260512
  • Provider Name: CITI CARE CORPORATION
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Doing Business As: CITI CARE HOSPICE
  • Address: 5050 PALO VERDE ST STE 204
    MONTCLAIR, CA
    ZIP 91763
  • Phone: (909) 399-5004

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NPI Details

CITI CARE CORPORATION is a hospice care community based in Montclair, CA. CITI CARE CORPORATION NPI is 1104260512. The provider is registered as an organization entity type.
The provider Is Doing Business As Citi Care Hospice.

The provider's business location address is:

5050 PALO VERDE ST STE 204
MONTCLAIR, CA
ZIP 91763-334
Phone: (909) 399-5004
Fax: (800) 594-0569

The provider's authorized official is Maria Jasmin Avila .
The authorized official title is President and has the following contact phone number (909) 605-1065.

The enumeration date for this NPI number is 4/29/2013 and was last updated on 9/16/2022.

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
1251G00000XHospice Care, Community BasedCALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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