Active NPI
Cherry Blossom Healthcare Palliative & Hospice, Inc.
- Community Based Hospice Care Agency
- San Bernardino, CA
National Provider Identifier
1164967741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CHERRY BLOSSOM HEALTHCARE PALLIATIVE & HOSPICE, INC.
- Practice address
- 688 N Arrowhead Ave
Ste 205
San Bernardino, CA 92401-1171 - Phone
- (909) 999-5436
- Fax
- (888) 752-8950
- NPI assigned
- Jan 5, 2017
- Last updated
- Apr 22, 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
- Mr. Lorenz Sy, RN
- Title
- President
- Phone
- (323) 236-0872
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
688 N Arrowhead Ave
Ste 205
San Bernardino, CA 92401-1171
Mailing address
688 N Arrowhead Ave
Ste 205
San Bernardino, CA 92401-1171
Phone (909) 999-5436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 608-15-9853 | Medicaid | CA |
Care Compare: Hospice
Medicare Care Compare- Listed as
- Cherry Blossom Healthcare Palliative & Hospice
- Ownership
- For-Profit
- Certified
- Aug 24, 2021
- 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
688 N Arrowhead Ave
Ste 205
San Bernardino, CA 92401
Phone (909) 999-5436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619049600000",
"number": "1164967741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "688 N ARROWHEAD AVE",
"address_2": "STE 205",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011171",
"telephone_number": "909-999-5436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "688 N ARROWHEAD AVE",
"address_2": "STE 205",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011171",
"telephone_number": "909-999-5436",
"fax_number": "888-752-8950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHERRY BLOSSOM HEALTHCARE PALLIATIVE & HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-05",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A",
"authorized_official_last_name": "SY",
"authorized_official_first_name": "LORENZ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-236-0872",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "608-15-9853",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.