Living Waters Hospice California LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550001951 Issued in CA

Legal business name

LIVING WATERS HOSPICE CALIFORNIA LLC

Practice address

6030 Riverside Dr
Suite F
Chino, CA 91710-4423

Phone

(909) 315-8113

NPI assigned

Jan 19, 2017

Last updated

Jul 25, 2023By 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

Randy Denham

Title

Vice President

Phone

(951) 694-2099

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Duane Ray Darnell, DO

  • Internal Medicine Physician
  • Sun City, CA
  • NPI 1831199728
  Medicare reassignment NPD

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1275079980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22300 VAN BUREN BLVD STE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925182707",
            "telephone_number": "909-315-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 RIVERSIDE DR",
            "address_2": "SUITE F",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104423",
            "telephone_number": "909-315-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATERS HOSPICE CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "DENHAM",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "951-694-2099"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550001951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Leann Lindsay, MA, LMFT
• Jose Alejandro Lira, M.D.
• Delicia Jean Liu, L.AC
• Kayee Liu, RD/RDN
• Tin Wing Liu
• Naomi Lo
• Lombardy Senior Care LLC (Lombardy Senior Care)
• Lopez Vargas DDS Dental Corporation
• Aillette Lopez
• Amanda Nicole Lopez, OD

• Community Based Hospice Care Agency in Chino, CA
• Providers in Chino, 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 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.