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CALIFORNIAN MAGNOLIA CONVALESCENT HOSPITAL INC. NPI 1225049299


NPI Information

NPI: 1225049299
Provider Name: CALIFORNIAN MAGNOLIA CONVALESCENT HOSPITAL INC.

Other Name: MAGNOLIA HOSPICE

Classification: Hospice, Inpatient - 315D00000X
Entity Type: Organization

CLIA Number: 05D0575550

Address:
8133 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92504
Phone: (951) 688-4321
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CALIFORNIAN MAGNOLIA CONVALESCENT HOSPITAL INC. is a hospice inpatient in Riverside, CA. The provider is a provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. CALIFORNIAN MAGNOLIA CONVALESCENT HOSPITAL INC. NPI is 1225049299. The provider is registered as an organization entity type.
The provider Other Name Is Magnolia Hospice.

The provider's business location address is:

8133 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92504-498
Phone: (951) 688-4321
Fax: (951) 688-0258

The provider's authorized official is Grant Edgson .
The authorized official title is Contoller and has the following contact phone number (951) 688-4321.

The CLIA number assigned to this NPI record is 05D0575550 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315D00000XHospice, InpatientCALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HPC01641FMEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.