DEBONAIRE HOSPICE, INC. (NPI# 1295118768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295118768 |
| Entity Type | Organization |
| Organization Name | DEBONAIRE HOSPICE, INC. |
| Practice Address |
12139 Mount Vernon Ave Ste 202 Grand Terrace CA 92313-5562 |
| Practice Telephone | 9096546566 |
| Practice Fax Number | 8774909508 |
| Mailing Telephone | 9096546566 |
| Mailing Fax Number | 8774909508 |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2016-10-01 |
| Authorized Official Name | GIOVANNI IBALE (CEO) |
| Authorized Official Telephone | 9096546566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
12139 MOUNT VERNON AVE STE 202 |
| City | GRAND TERRACE |
| State | CA |
| Zip Code | 92313-5562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578519104 | Alvin Obmana Llamas | Occupational Therapist | 12139 Mount Vernon Ave, Suite 110, Grand Terrace, CA 92313-5586 | 2006-05-25 |
| 1578861399 | Myungjin Kim | Physical Therapist | 12139 Mount Vernon Ave, Suite 110, Grand Terrace, CA 92313-5586 | 2011-03-02 |
| 1720263304 | Eric Johnson | Physical Therapist | 12139 Mount Vernon Ave, Grand Terrace, CA 92313-5586 | 2008-01-02 |
| 1578651832 | Christina Elizabeth Brodbeck | Physical Therapist | 12139 Mount Vernon Ave, 110, Grand Terrace, CA 92313-5586 | 2006-10-11 |
| 1518078203 | Fit Forever Physical Therapy, Inc. | Physical Therapist | 12139 Mount Vernon Ave, #110, Grand Terrace, CA 92313-5586 | 2006-08-31 |
| 1225072911 | Cheong Kim | Physical Therapist | 12139 Mount Vernon Ave, Suite 110, Grand Terrace, CA 92313-5586 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427321322 | Noelle Angelica Leon | Technician, Pathology | 22799 Desoto Street, Grand Terrace, CA 92313 | 2012-02-23 |
| 1487885497 | Impression Healthcare Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 22573 Barton Rd., Grand Terrace, CA 92313 | 2009-08-07 |
| 1528230869 | Patricia Zappia | Specialist | 22927 Grand Terrace Road, Grand Terrace, CA 92313 | 2008-03-27 |
| 1558579755 | Robert Mitchell Norman | Psychiatry & Neurology | Riverside San Bernardino Indian Health, Inc., 11980 Mt Vernon Ave, Grand Terrace, CA 92313 | 2007-05-19 |
| 1477752913 | Joseph Allan Pruitt | Optometrist | 11980 Mount Vernon Ave, Grand Terrace, CA 92313 | 2007-07-14 |
| 1770725939 | Jarco Medical Group, LLC | Clinic/Center | 12030 La Cadena Dr, Grand Terrace, CA 92313-3613 | 2009-04-01 |
| 1376015164 | Trescina Michelle Hernandez | Assistant Behavior Analyst | 22887 Brentwood St, Grand Terrace, CA 92313-4908 | 2018-12-18 |
| 1811037492 | Jonbec Care Inc. | Intermediate Care Facility, Mentally Retarded | 11868 Canal St, Grand Terrace, CA 92313-4941 | 2007-02-06 |
| 1922028406 | Heather Carriedo | Pediatrics | 23251 Glendora Dr, Grand Terrace, CA 92313-4965 | 2006-07-20 |
| 1760683866 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 22325 Barton Rd, Grand Terrace, CA 92313-5006 | 2007-05-29 |
| Find all providers in zip 92313 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891297289 | New Dawn Hospice Inc | Hospice Care, Community Based | 12139 Mount Vernon Ave Ste 212, Grand Terrace, CA 92313-5586 | 2018-03-01 |
| 1285014670 | Starbright Hospice, Inc. | Hospice Care, Community Based | 12139 Mount Vernon Ave Ste 210, Grand Terrace, CA 92313-5562 | 2015-06-02 |
| 1659820595 | Hospice Care Logic Inc | Hospice Care, Community Based | 22737 Barton Rd, Suite 8, Grand Terrace, CA 92313-5262 | 2016-10-03 |
| 1659791721 | Starlight of Hemet, LLC | Hospice Care, Community Based | 22737 Barton Rd, Suite # 11, Grand Terrace, CA 92313-5262 | 2014-04-16 |
| 1780019612 | Equanimity Hospice & Palliative Care, Inc. | Hospice Care, Community Based | 22365 Barton Rd, Ste 100, Grand Terrace, CA 92313-5015 | 2013-09-11 |
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|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1528669207 | La Vida Care Hospice Inc | Hospice Care, Community Based | 6309 Van Nuys Blvd Ste 106, Van Nuys, CA 91401-6613 | 2020-11-08 |
| 1588265276 | Santa Rita Hospice Inc | Hospice Care, Community Based | 7311 Van Nuys Blvd Unit 22, Van Nuys, CA 91405-1999 | 2020-11-08 |
| 1477154169 | Prime Plus Hospice Inc | Hospice Care, Community Based | 7311 Van Nuys Blvd Unit 23, Van Nuys, CA 91405-1999 | 2020-11-08 |
| 1275134967 | Valley Hospice Care Inc | Hospice Care, Community Based | 7311 Van Nuys Blvd Unit 24, Van Nuys, CA 91405-1999 | 2020-11-08 |
| 1063013720 | Blessed Journey Hospice, LLC. | Hospice Care, Community Based | 9778 Katella Ave Ste 111, Anaheim, CA 92804-6446 | 2020-11-07 |
| 1093316739 | S and N Hospice | Hospice Care, Community Based | 2500 E Foothill Blvd Ste 512, Pasadena, CA 91107-7126 | 2020-11-07 |
| 1033710819 | Treasure Care Hospice,inc. | Hospice Care, Community Based | 4250 Pennyslvania Ave, Suite 203, La Crescenta, CA 91214 | 2020-11-06 |
| 1689275430 | Pro-choice Hospice, Inc. | Hospice Care, Community Based | 19634 Ventura Blvd Ste 302, Tarzana, CA 91356-2966 | 2020-11-06 |
| 1689275588 | Integrated Hospice Care Inc | Hospice Care, Community Based | 6354 Van Nuys Blvd Ste 102, Van Nuys, CA 91401-2601 | 2020-11-06 |
| Find all providers with the same taxonomy | ||||
| City | GRAND TERRACE |
| Zip Code | 92313 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.