Active NPI
Primericare Hospice LLC
- Community Based Hospice Care Agency
- Upland, CA
National Provider Identifier
1134719867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PRIMERICARE HOSPICE LLC
- Practice address
- 222 N Mountain Ave Ste 214a
Upland, CA 91786-5714 - Phone
- (909) 931-0858
- NPI assigned
- Jan 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryan Borromeo
- Title
- Ceo
- Phone
- (909) 931-0644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
222 N Mountain Ave Ste 214a
Upland, CA 91786-5714
Mailing address
222 N Mountain Ave Ste 214a
Upland, CA 91786-5714
Phone (909) 931-0858
Care Compare: Hospice
Medicare Care Compare- Listed as
- Primericare Hospice LLC
- Certified
- Sep 28, 2022
- Medicare certification status
- Active
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryLocations
222 N Mountain Ave
Ste 214A
Upland, CA 91786
Phone (909) 931-0858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611619200000",
"number": "1134719867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 N MOUNTAIN AVE STE 214A",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865714",
"telephone_number": "909-931-0858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N MOUNTAIN AVE STE 214A",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865714",
"telephone_number": "909-931-0858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMERICARE HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A",
"authorized_official_last_name": "BORROMEO",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-931-0644"
},
"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 Jan 26, 2021; 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.