Citi Care Corporation

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CITI CARE CORPORATION

Practice address

5050 Palo Verde St Ste 204
Montclair, CA 91763-2334

Phone

(909) 399-5004

Fax

(800) 594-0569

NPI assigned

Apr 29, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Maria Jasmin Avila

Title

President

Phone

(909) 605-1065

Specialties & licenses 1

Addresses

Other names 1

• CITI CARE HOSPICE Doing business as

Locations

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1104260512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 PALO VERDE ST STE 204",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632334",
            "telephone_number": "909-399-5004",
            "fax_number": "800-594-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 PALO VERDE ST STE 204",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632334",
            "telephone_number": "909-399-5004",
            "fax_number": "800-594-0569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4335 E Airport Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917617808",
            "country_code": "US",
            "telephone_number": "909-605-1065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITI CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "MARIA JASMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-605-1065",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITI CARE HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CITI CARE HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Choi, D.C.
• Erick Cholula
• Meghan Evellen Christensen
• Christian Development Center
• Cinta Hospice Care Inc
• City of Montclair Fire Department
• Gabrielle Marie Clark
• Timisha Sharene Clark
• Nicole Cloutier
• Kevin Co

• Community Based Hospice Care Agency in Montclair, CA
• Providers in Montclair, 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 16, 2022; 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.