ALTA HOSPICE OF CALIFORNIA NPI 1417579285

NPI Information

NPI: 1417579285
Provider Name: ALTA HOSPICE OF CALIFORNIA
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2274268

Address:
1898 N ARROWHEAD AVE
SAN BERNARDINO, CA
ZIP 92405
Phone: (866) 935-5055
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ALTA HOSPICE OF CALIFORNIA is a hospice care community based in San Bernardino, CA. ALTA HOSPICE OF CALIFORNIA NPI is 1417579285. The provider is registered as an organization entity type.

The provider's business location address is:

1898 N ARROWHEAD AVE
SAN BERNARDINO, CA
ZIP 92405-114
Phone: (866) 935-5055
Fax: (866) 935-5055

The provider's authorized official is Nareg Navasartian .
The authorized official title is Ceo and has the following contact phone number (866) 935-5055.

The CLIA number assigned to this NPI record is 05D2274268 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2020 and was last updated on 12/29/2022.

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
1	251G00000X	Hospice Care, Community Based				Yes

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: 4/28/2024

NPI Synchronization or Removal

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