GREEN RIVER HOSPICE NPI 1144868746

NPI Information

  • NPI: 1144868746
  • Provider Name: GREEN RIVER HOSPICE
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 05D2240631
  • Address: 78150 CALLE TAMPICO STE 205B
    LA QUINTA, CA
    ZIP 92253
  • Phone: (760) 683-2272

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NPI Details

GREEN RIVER HOSPICE is a hospice care community based in La Quinta, CA. GREEN RIVER HOSPICE NPI is 1144868746. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

78150 CALLE TAMPICO STE 205B
LA QUINTA, CA
ZIP 92253-907
Phone: (760) 683-2272
Fax: (760) 683-2245

The provider's authorized official is Olaronke O Champion .
The authorized official title is President/founder and has the following contact phone number (708) 261-6487.

The CLIA number assigned to this NPI record is 05D2240631 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2019 and was last updated on 11/26/2025.

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 BasedYes

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: 11/21/2025

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