Organization Active NPI

Coreconclusive Care Inc

  • Community Based Hospice Care Agency
  • Ontario, CA
National Provider Identifier
1366869042
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CORECONCLUSIVE CARE INC
Practice address
615 N Euclid Ave
Suite 205
Ontario, CA 91762-3200
Phone
(909) 391-6452
Fax
(909) 391-6426
NPI assigned
Mar 19, 2014
Last updated
Mar 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Mr. Rolando San Gabriel
Title
Cfo
Phone
(909) 391-6452

Specialties & licenses 1

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

Addresses

Primary practice location

615 N Euclid Ave
Suite 205
Ontario, CA 91762-3200

Mailing address

615 N Euclid Ave
Suite 205
Ontario, CA 91762-3200
Phone (909) 391-6452

National Provider Directory

National Provider Directory

Locations

615 N Euclid Ave
Ste 205
Ontario, CA 91762
Phone (909) 391-6452

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1366869042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N EUCLID AVE",
            "address_2": "SUITE 205",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623200",
            "telephone_number": "909-391-6452",
            "fax_number": "909-391-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N EUCLID AVE",
            "address_2": "SUITE 205",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623200",
            "telephone_number": "909-391-6452",
            "fax_number": "909-391-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORECONCLUSIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "SAN GABRIEL",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-391-6452",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.