Wings of Hope Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

WINGS OF HOPE HOSPICE, INC

Practice address

345 W. Pearl Avenue
Ste 240
Redlands, CA 92374-3174

Phone

(909) 307-0089

Fax

(909) 335-1118

NPI assigned

Jan 21, 2016

Organization subpart

No

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

Authorized official

Name

Lilibeth Johnson-Mee

Title

Administrator

Phone

(909) 307-0089

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 921577

Legal name

WINGS OF HOPE HOSPICE, INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 26, 2017

Last certification

May 5, 2020

Ownership / control type

Proprietary - Individual

Organization structure

CorporationProprietary

Incorporated

Sep 24, 2015 in CA

Enrollment address

345 Pearl Ave
Ste 240
Redlands, CA 92374-3174

Listed as

Wings of Hope Hospice, IncCCN 921577

Ownership

For-Profit

Certified

Jan 26, 2017

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1215394226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W PEARL AVE",
            "address_2": "STE 240",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923743174",
            "telephone_number": "909-307-0089",
            "fax_number": "909-335-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W. PEARL AVENUE",
            "address_2": "STE 240",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923743174",
            "telephone_number": "909-307-0089",
            "fax_number": "909-335-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF HOPE HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-MEE",
        "authorized_official_first_name": "LILIBETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-307-0089"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan David Wilson
• Steven Wilson, M.D
• Tia T Wilson
• Tiffany Wilson, PTA
• Xiaoping Wilson
• Jan Steffan Winters, MFT
• Katie Wiseman
• Wendi Lee Witherell, LCSW
• Allison A Woldt
• Kaitlin Marie Wolfe, DPT

• Community Based Hospice Care Agency in Redlands, CA
• Providers in Redlands, 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 Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.