Charter Healthcare of Rancho Cucamonga, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CHARTER HEALTHCARE OF RANCHO CUCAMONGA, LLC

Doing business as

Cambridge Hospice

Practice address

9229 Utica Ave., Suite 100
Rancho Cucamonga, CA 91730-4063

Phone

(866) 669-1686

Fax

(909) 532-8685

NPI assigned

Nov 3, 2011

Last updated

Sep 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sylvie Boal, ESQ

Title

Attorney

Phone

(866) 669-1686

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cambridge Hospice Doing business as

Locations

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1053698134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 UTICA AVE., SUITE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304063",
            "telephone_number": "866-669-1686",
            "fax_number": "909-532-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 UTICA AVE., SUITE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304063",
            "telephone_number": "866-669-1686",
            "fax_number": "909-532-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER HEALTHCARE OF RANCHO CUCAMONGA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "BOAL",
        "authorized_official_first_name": "SYLVIE",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "866-669-1686",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "550001908",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cambridge Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cambridge Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Chapman, RBT
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• Priya Ronak Chauhan, PT
• Teresa De Jesus Chavarin
• Kimberly Ann Chavarria, C.N.C
• Sofia Elizabeth Chavarria
• Stephanie Chavarria

• Community Based Hospice Care Agency in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.