Organization Active NPI

Destiny Rose Hospice Inc

  • Community Based Hospice Care Agency
  • Upland, CA
National Provider Identifier
1104431071
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DESTINY ROSE HOSPICE INC
Practice address
400 N Mountain Ave Ste 123-D
Upland, CA 91786-5176
Phone
(909) 763-2847
Fax
(929) 090-9763
NPI assigned
Sep 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Roselyn Paniza Delfin
Title
Ceo
Phone
(909) 763-2847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

400 N Mountain Ave Ste 123-D
Upland, CA 91786-5176

Mailing address

3380 S 4TH Ave Lot 77
Yuma, AZ 85365-4069
Phone (928) 285-8472

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1104431071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 S 4TH AVE LOT 77",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853654069",
            "telephone_number": "928-285-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MOUNTAIN AVE STE 123-D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865176",
            "telephone_number": "909-763-2847",
            "fax_number": "929-090-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY ROSE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "DELFIN",
        "authorized_official_first_name": "ROSELYN",
        "authorized_official_middle_name": "PANIZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-763-2847"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.