Great Horizons Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GREAT HORIZONS HOSPICE, INC

Practice address

504 N Mountain View Ave Ste 300
San Bernardino, CA 92401-1208

Phone

(909) 885-9965

NPI assigned

Jul 6, 2021

Organization subpart

No

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

Authorized official

Name

Ritchie Santos Domingo, RN

Title

Administrator

Phone

(909) 885-9965

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1205407715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8928 RAYFORD DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453454",
            "telephone_number": "909-885-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N MOUNTAIN VIEW AVE STE 300",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011208",
            "telephone_number": "909-885-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT HORIZONS HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "RITCHIE",
        "authorized_official_middle_name": "SANTOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-885-9965",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dyneisha Gray
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• Candice Grayes
• Adrienne Grayson
• Genesis Grayson
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• Great Mind Family Counseling and Skill Building Center, Inc.
• Green View Hospice Care, Inc.
• Adrienne Denise Green
• Deaundre Green

• 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 Jul 6, 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.