Blue Bird Hospice Care Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BLUE BIRD HOSPICE CARE INC.

Practice address

255 N D St Ste 200-12
San Bernardino, CA 92401-1735

Phone

(909) 300-5674

Fax

(909) 281-9978

NPI assigned

Apr 20, 2021

Organization subpart

No

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

Authorized official

Name

Rajesh Nayyar

Title

Ceo

Phone

(909) 300-5674

Specialties & licenses 1

Addresses

Other names 1

• Hospice Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622332800000",
    "number": "1184205262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N D ST STE 200-12",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011735",
            "telephone_number": "909-300-5674",
            "fax_number": "909-281-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N D ST STE 200-12",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011735",
            "telephone_number": "909-300-5674",
            "fax_number": "909-281-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE BIRD HOSPICE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A",
        "authorized_official_last_name": "NAYYAR",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-300-5674"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acpbilling@advcarerx.com",
            "affiliation": "N",
            "endpointDescription": "acpbilling@advcarerx.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "255 N D St Ste 200-12",
            "city": "San Bernardino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "924011735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in San Bernardino, CA
• Providers in San Bernardino, 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 May 30, 2021; 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.