CELESTIAL HOSPICE, INC. (NPI# 1538576731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538576731 |
Entity Type | Organization |
Organization Name | CELESTIAL HOSPICE, INC. |
Other Organization Name | BRIDGE HOSPICE |
Practice Address |
2910 Inland Empire Blvd Ste 116 Ontario CA 91764-4896 |
Practice Telephone | 9512973336 |
Practice Fax Number | 8779422355 |
Mailing Telephone | 9512973336 |
Mailing Fax Number | 8779422355 |
Enumeration Date | 2014-07-20 |
Last Update Date | 2020-05-18 |
Authorized Official Name | MICHAEL WILLIAM SUOR (CEO) |
Authorized Official Telephone | 8582514242 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | 550002968 | CA | Agencies |
Other Name | Type Code |
---|---|
Bridge Hospice | Doing Business As Name - Organization |
Bridge Hospice Inland Empire | Doing Business As Name - Organization |
Street Address |
2910 INLAND EMPIRE BLVD STE 116 |
City | ONTARIO |
State | CA |
Zip Code | 91764-4896 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760096952 | Jacqueline Iriart | Behavior Technician | 2930 Inland Empire Blvd St 100, Ontario, CA 91764 | 2020-09-03 |
1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
1023629649 | Yazmin Ramos | Behavior Technician | 4688 Ontario Mills Pwky, Ontario, CA 91764 | 2020-08-17 |
1184234999 | Adoniram Morales | Behavior Technician | 4688 Ontatio Mills Parkway, Ontario, CA 91764 | 2020-08-06 |
1396395489 | Enhanced Sleep Solutions | Clinic/Center | 2990 E. Inland Empire Blvd. #105, Antonio, CA 91764 | 2019-09-19 |
1013561588 | Jaquelyn Herrera | Behavior Technician | 2151 E Convention Center Way Ste #103, Ontario, CA 91764 | 2019-08-01 |
1285287995 | Ha Tran Tsai Dental Corporation | Dentist | 1361 East 4th Street, Ontario, CA 91764 | 2019-07-22 |
1346702974 | Rocio Sandoval | Behavior Technician | 800 Ferrari Ln Ste 100, Ontario, CA 91764 | 2019-04-02 |
1275011678 | Jquana Lucille Dowdy | Behavior Technician | 2903 Inland Empire Blvd, Suite 101, Ontario, CA 91764 | 2018-07-30 |
1063917458 | Maria Veronica Heard | Specialist/Technologist | 740 E Princeton St, Ontario, CA 91764 | 2018-03-27 |
Find all providers in zip 91764 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972129641 | Cardinal Hospice and Palliative Care | Hospice Care, Community Based | 500 N Palm Ave, Ontario, CA 91762-3218 | 2020-06-18 |
1497257935 | Tender Heart Hospice, Inc. | Hospice Care, Community Based | 4355 E Lowell St Ste H, Ontario, CA 91761-2225 | 2018-02-28 |
1538696588 | Avid Hospice Inc | Hospice Care, Community Based | 208 W E St Ste C, Ontario, CA 91762-3467 | 2017-05-20 |
1487047569 | Nurses Care Hospice Inc | Hospice Care, Community Based | 909 S Cucamonga Ave, Ste 115b, Ontario, CA 91761-1973 | 2015-03-12 |
1992104947 | Guardian Angel Home Care, Inc. | Hospice Care, Community Based | 647 E E St Ste 106, Ontario, CA 91764-4200 | 2014-08-15 |
1366869042 | Coreconclusive Care Inc | Hospice Care, Community Based | 615 N Euclid Ave, Suite 205, Ontario, CA 91762-3200 | 2014-03-19 |
1669898250 | Perseverance Care Inc | Hospice Care, Community Based | 615 N Euclid Ave Ste 217, Ontario, CA 91762-3200 | 2014-03-07 |
1104260512 | Citi Care Corp | Hospice Care, Community Based | 4335 E Airport Dr Ste 112, Ontario, CA 91761-7808 | 2013-04-29 |
1780927731 | Ascendio Health Systems, Inc. | Hospice Care, Community Based | 1035 S. Milliken Avenue, Suite I, Ontario, CA 91761 | 2013-03-28 |
1952649907 | Home and Community Hospice, Inc. | Hospice Care, Community Based | 337 N. Vineyard Avenue, Suite 306, Ontario, CA 91764 | 2013-01-26 |
Find all providers in ONTARIO |
Please comment or provide details below to improve the information on CELESTIAL HOSPICE, INC..
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.