Organization Active NPI

Pristine Hospice Care Plus

  • Community Based Hospice Care Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1154748812
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PRISTINE HOSPICE CARE PLUS
Practice address
13146 Mungo CT
Rancho Cucamonga, CA 91739-9157
Phone
(562) 824-5099
NPI assigned
Mar 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Mrs. Bernice IvokoNPI 1063059806
Title
Ceo
Phone
(562) 824-5099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

13146 Mungo CT
Rancho Cucamonga, CA 91739-9157

Mailing address

13146 Mungo CT
Rancho Cucamonga, CA 91739-9157
Phone (562) 824-5099

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": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1154748812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13146 MUNGO CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399157",
            "telephone_number": "562-824-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13146 MUNGO CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399157",
            "telephone_number": "562-824-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE HOSPICE CARE PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "IVOKO",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-824-5099",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.