Advance Hospice Services, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ADVANCE HOSPICE SERVICES, INC.

Practice address

3602 Inland Empire Blvd Ste a-238
Ontario, CA 91764-4900

Phone

(909) 466-1000

Fax

(909) 466-1010

NPI assigned

Apr 14, 2014

Last updated

Nov 2, 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

Mildred C Navarro

Title

Administrator

Phone

(909) 466-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1306265863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 INLAND EMPIRE BLVD STE A-238",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644900",
            "telephone_number": "909-466-1000",
            "fax_number": "909-466-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 INLAND EMPIRE BLVD STE A-238",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644900",
            "telephone_number": "909-466-1000",
            "fax_number": "909-466-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE HOSPICE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-466-1000"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NUMBER",
            "identifier": "C3659689",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.