DIRECT PROVIDER OF HOSPICE, INC (NPI# 1730525684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730525684 |
| Entity Type | Organization |
| Organization Name | DIRECT PROVIDER OF HOSPICE, INC |
| Other Organization Name | DIRECT PROVIDER OF HEALTHCARE SERVICES, INC |
| Practice Address |
6671 Vianza Place Rancho Cucamonga CA 91701-5829 |
| Mailing Address |
9320 Baseline Rd Suite B Rancho Cucamonga CA 91701-5829 |
| Practice Telephone | 9093190635 |
| Practice Fax Number | 9093190635 |
| Mailing Telephone | 9093190635 |
| Mailing Fax Number | 9099443878 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |
| Authorized Official Name | JENNYBETH R DIEGO (PRESIDENT) |
| Authorized Official Telephone | 9093190635 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | DIRECT PROVIDER OF HEALTHCARE SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Direct Provider of Healthcare Services, Inc | Other Name - Individual/Organization |
| Street Address |
6671 VIANZA PLACE |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91701-5829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558884882 | Alinda Joan Kniss | Speech-Language Pathologist | 8990 19 Th Street #304, Alta Loma, CA 91701 | 2017-07-19 |
| 1164739595 | Andrea G Moore-emmett | Counselor | 9330 Baseline Rd Ste 102, Rancho Cucamonga, CA 91701 | 2010-09-07 |
| 1053548644 | Suniel S. Khemlani | Family Medicine | 11398 Kenyon Way Ste J, Rancho Cucamonga, CA 91701 | 2009-06-22 |
| 1215130448 | C Mark Keen | Dentist | 9606 Baseline Rd, Alta Loma, CA 91701 | 2007-06-06 |
| 1184845711 | Andrew Liu | Specialist/Technologist | 11801 Lark Dr., Rancho Cucamonga, CA 91701 | 2007-05-01 |
| 1083741359 | Rockcreek, Inc. | Intermediate Care Facility, Mentally Retarded | 10227 Monte Vista Street, Rancho Cucamonga, CA 91701 | 2007-02-27 |
| 1194867788 | George Ji Jun Tao | Dentist | 6626 Carnelian St, Alta Loma, CA 91701 | 2007-02-12 |
| 1265590624 | Terry F Brock | Dentist | 7283 Carnelian St, Alta Loma, CA 91701 | 2006-12-05 |
| 1851461354 | Dr Tom Dental Office | Dentist | 6795 Carnelian St, Alta Loma, CA 91701 | 2006-11-09 |
| 1124127956 | Johnny S Liu | Dentist | 7168 Archibald Ave, Suite 200, Alta Loma, CA 91701 | 2006-09-21 |
| Find all providers in zip 91701 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048771 | Shekinah Hospices Healthcare Agency | Hospice Care, Community Based | 9612 Foothill Blvd Unit 10, Rancho Cucamonga, CA 91730-3547 | 2020-09-21 |
| 1275143653 | Love & Faith Hospice Services, Inc. | Hospice Care, Community Based | 8579 Cava Dr, Rancho Cucamonga, CA 91730-8717 | 2020-07-31 |
| 1386261568 | Allay 4 Hospice Inc | Hospice Care, Community Based | 9227 Haven Ave Ste 215, Rancho Cucamonga, CA 91730-5457 | 2020-07-03 |
| 1770105322 | Golden Touch Hospice Care,inc. | Hospice Care, Community Based | 11030 Arrow Rte Ste 211, Rancho Cucamonga, CA 91730-4837 | 2020-05-16 |
| 1992325039 | A Life Care Hospice Inc. | Hospice Care, Community Based | 10970 Arrow Rte Ste 213, Rancho Cucamonga, CA 91730-4839 | 2020-04-18 |
| 1548880685 | Avery Care Hospice,inc. | Hospice Care, Community Based | 11030 Arrow Rte Ste 209, Rancho Cucamonga, CA 91730-4837 | 2020-04-18 |
| 1841757044 | Tree of Xenia Palliative & Hospice Care | Hospice Care, Community Based | 9121 Haven Ave Ste 130, Rancho Cucamonga, CA 91730-8564 | 2019-02-23 |
| 1699246470 | D' Alexandria Hospice, Inc. | Hospice Care, Community Based | 9087 Arrow Rte Ste 275, Rancho Cucamonga, CA 91730-4478 | 2018-12-05 |
| 1730657412 | Amalfi Hospice Care, Inc. | Hospice Care, Community Based | 9087 Arrow Rte Ste 284, Rancho Cucamonga, CA 91730-4478 | 2018-11-11 |
| 1811462815 | Sacred Passion Hospice Care, Inc. | Hospice Care, Community Based | 9007 Arrow Rte Ste 220, Rancho Cucamonga, CA 91730-4461 | 2018-10-05 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91701 |
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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.