Foothill Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FOOTHILL HOSPICE CARE INC

Practice address

222 N Mountain Ave Ste 207
Upland, CA 91786-5745

Phone

(909) 919-2535

Fax

(909) 919-2574

NPI assigned

Jul 31, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Roza Davitian

Title

Ceo

Phone

(909) 919-2535

Specialties & licenses 1

Addresses

Listed as

Foothill Hospice Care, IncCCN 921538

Ownership

For-Profit

Certified

Aug 15, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1043628217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N MOUNTAIN AVE STE 207",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865745",
            "telephone_number": "909-919-2535",
            "fax_number": "909-919-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N MOUNTAIN AVE STE 207",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865745",
            "telephone_number": "909-919-2535",
            "fax_number": "909-919-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "DAVITIAN",
        "authorized_official_first_name": "ROZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-919-2535",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope J Flores, AMFT
• Jimmy Flores
• Jeffrey Fluck, LCSW 139421
• Kylie Fohring
• Foothill Hospice
• Foothills Psychological Services, Inc.
• Footsteps Into Health, Inc,
• Forefront Dermatology - Pacific, P.C.
• Tracy Forgione
• Richard Edward Fort, MFT

• Community Based Hospice Care Agency in Upland, CA
• Providers in Upland, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.