SONORAN WINDS HOSPICE INC NPI 1366842684

NPI Information

NPI: 1366842684
Provider Name: SONORAN WINDS HOSPICE, INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D1055726

Address:
6131 ORANGETHORPE AVE STE 180
BUENA PARK, CA
ZIP 90620
Phone: (714) 523-5030
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SONORAN WINDS HOSPICE, INC is a hospice care community based in Buena Park, CA. SONORAN WINDS HOSPICE, INC NPI is 1366842684. The provider is registered as an organization entity type.

The provider's business location address is:

6131 ORANGETHORPE AVE STE 180
BUENA PARK, CA
ZIP 90620-901
Phone: (714) 523-5030
Fax: (714) 523-5060

The provider's authorized official is Anthony Ferrio .
The authorized official title is Ceo, Administrator and has the following contact phone number (714) 523-5030.

The CLIA number assigned to this NPI record is 05D1055726 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2014 and was last updated on 10/6/2017.

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		550000234	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	55-1555	OTHER	CALIFORNIA	MEDICARE PROVIDER NUMBER
2	550000234	OTHER	CALIFORNIA	MEDI-CAL

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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