Organization Active NPI

Amaya Hospice, Inc.

  • Community Based Hospice Care Agency
  • San Bernardino, CA
National Provider Identifier
1366051260
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AMAYA HOSPICE, INC.
Practice address
435 Orange Show LN Ste 106
San Bernardino, CA 92408-2015
Phone
(909) 677-2285
NPI assigned
Jul 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Dane Short
Title
Ceo
Phone
(818) 963-0657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

435 Orange Show LN Ste 106
San Bernardino, CA 92408-2015

Mailing address

8928 Rayford Dr
Los Angeles, CA 90045-3454
Phone (818) 963-0657

National Provider Directory

National Provider Directory

Locations

435 Orange Show Ln
Ste 106
San Bernardino, CA 92408
Phone (909) 677-2285

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1366051260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8928 RAYFORD DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453454",
            "telephone_number": "818-963-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ORANGE SHOW LN STE 106",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082015",
            "telephone_number": "909-677-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAYA HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "DANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-963-0657"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.