San Bernardino Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SAN BERNARDINO HOSPICE, INC.

Doing business as

River of Light Hospice

Practice address

256 Cajon St Ste D
Redlands, CA 92373-5278

Phone

(909) 748-7999

Fax

(909) 781-2496

NPI assigned

Mar 17, 2016

Last updated

Apr 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joel ZamoraNPI 1750432852

Title

Ceo

Phone

(909) 748-7999

Specialties & licenses 1

Addresses

Other names 1

• River of Light Hospice Doing business as

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel Mallari Zamora, PT

  • Physical Therapist
  • Redlands, CA
  • NPI 1750432852
  NPD (past) Authorized official
• Rosalyn Marcia Gastel, RN LCSW

  • Clinical Social Worker
  • Longmont, CO
  • NPI 1184786469
  NPD (past)

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1235590290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 CAJON ST STE D",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735278",
            "telephone_number": "909-748-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 CAJON ST STE D",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735278",
            "telephone_number": "909-748-7999",
            "fax_number": "909-781-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BERNARDINO HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-748-7999"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River of Light Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Bernardino County Public Health Dept.
• San Bernardino County Superintendent of Schools
• San Bernardino County Superintendent of Schools (Sbcss Stu SVS Coun CNTR)
• San Bernardino County/CCS
• San Bernardino Gastroenterology Associates Inc.
• San Bernardino Medical Orthopaedic Group, Inc. (Arrowhead Orthopaedics)
• San Bernardino Medical Orthopaedic Group, Inc. (Arrowhead Orthopaedics)
• San Bernardino Medical Orthopaedic Group, Inc. (Arrowhead Orthopaedics)
• San Bernardino Medical Orthopaedic Group, Inc. (Arrowhead Orthopaedics)
• Georgiana Darlyn Sanchez, LVN

• 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 Apr 9, 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.

Verify at the official NPI Registry.