Symeron Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SYMERON HOSPICE LLC

Practice address

1264 S Waterman Ave Ste 39
San Bernardino, CA 92408-2849

Phone

(909) 763-3547

NPI assigned

Dec 17, 2021

Last updated

Dec 17, 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

Mr. Anil Mall, MD

Title

Administrator

Phone

(909) 763-3547

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1093475022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 S WATERMAN AVE STE 39",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082849",
            "telephone_number": "909-763-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 S WATERMAN AVE STE 39",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082849",
            "telephone_number": "909-763-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMERON HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "MALL",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-763-3547",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Janette Swartout
• Dwight Paul Sweeney, PH.D.
• Rober Wesley Swen, PT, DPT, OCS
• Leslie Carolina Swenson, ACSW
• Thezia Sylviana, PA-C
• Synestra Integrated Behavioral Health Solutions Inc
• Richard Scott Synovec
• T William Hill MD Inc
• T. Van, MD Prof. Medical Corp.
• Valerie Rose Taber, MA

• Community Based Hospice Care Agency in San Bernardino, CA
• Providers in San Bernardino, 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 Dec 17, 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.