Active NPI
Shekinah Hospices Healthcare Agency
- Community Based Hospice Care Agency
- Rancho Cucamonga, CA
National Provider Identifier
1265048771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SHEKINAH HOSPICES HEALTHCARE AGENCY
- Practice address
- 9612 Foothill Blvd Unit 10
Rancho Cucamonga, CA 91730-3547 - Phone
- (909) 231-0098
- Fax
- (909) 587-2016
- NPI assigned
- Sep 21, 2020
- Organization subpart
- Yes
- Parent organization
- SHEKINAH GLOBAL HEALTHCARE VENTURES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bolaji Gabriel Babatunde, DHA, MS, BSN, RNCPHQ
- Title
- Ceo/President
- Phone
- (909) 231-0098
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
9612 Foothill Blvd Unit 10
Rancho Cucamonga, CA 91730-3547
Mailing address
9612 Foothill Blvd Unit 10
Rancho Cucamonga, CA 91730-3547
Phone (909) 231-0098
National Provider Directory
National Provider Directory- Tax ID family
- Shekinah Hospices Healthcare Agency
- Part of
- Shekinah Hospices Healthcare Agency
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Rancho Cucamonga, CA
- NPI 1174139687
-
- Home Health Agency
- Rancho Cucamonga, CA
- NPI 1275148504
Locations
9612 Foothill Blvd
Unit 10
Rancho Cucamonga, CA 91730
Phone (909) 231-0098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626825600000",
"number": "1265048771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9612 FOOTHILL BLVD UNIT 10",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303547",
"telephone_number": "909-231-0098",
"fax_number": "909-587-2016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9612 FOOTHILL BLVD UNIT 10",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303547",
"telephone_number": "909-231-0098",
"fax_number": "909-587-2016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEKINAH HOSPICES HEALTHCARE AGENCY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHEKINAH GLOBAL HEALTHCARE VENTURES",
"enumeration_date": "2020-09-21",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A",
"authorized_official_last_name": "BABATUNDE",
"authorized_official_first_name": "BOLAJI",
"authorized_official_middle_name": "GABRIEL",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "909-231-0098",
"authorized_official_credential": "DHA, MS, BSN, RNCPHQ"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.