VNA HOSPICE AND PALLIATIVE CARE OF SOUTHERN CALIFORNIA NPI 1114919099

NPI Information

NPI: 1114919099
Provider Name: VNA HOSPICE AND PALLIATIVE CARE OF SOUTHERN CALIFORNIA
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D0934506

Address:
2151 E CONVENTION CENTER WAY STE 100
ONTARIO, CA
ZIP 91764
Phone: (909) 624-3574
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VNA HOSPICE AND PALLIATIVE CARE OF SOUTHERN CALIFORNIA is a hospice care community based in Ontario, CA. VNA HOSPICE AND PALLIATIVE CARE OF SOUTHERN CALIFORNIA NPI is 1114919099. The provider is registered as an organization entity type.

The provider's business location address is:

2151 E CONVENTION CENTER WAY STE 100
ONTARIO, CA
ZIP 91764-449
Phone: (909) 624-3574
Fax: (909) 624-1559

The provider's authorized official is Marsha Fox .
The authorized official title is President/ceo and has the following contact phone number (909) 624-3574.

The CLIA number assigned to this NPI record is 05D0934506 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2005 and was last updated on 12/12/2019.

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	251E00000X	Home Health		DHS 980000547	CALIFORNIA	No
2	251G00000X	Hospice Care, Community Based		DHS 980000547	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HPC01535F	MEDICAID	CALIFORNIA
2	ZZT07008F	MEDICAID	CALIFORNIA

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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