Inland Valley Hospice Care,Inc

Organization Active NPI Community Based Hospice Care Agency · Victorville, CA

NPI 1376765834 · NPPES record last updated Feb 17, 2010

Key facts

NPI
1376765834
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
Legal business name
INLAND VALLEY HOSPICE CARE,INC
Practice address
15366 11TH St Ste O
Victorville, CA 92395-3726
Phone
(760) 243-2501
Fax
(760) 243-5527
NPI assigned
May 3, 2007
Organization subpart
No

Authorized official

Name
Natalie Rose Allen
Title
President
Phone
(760) 243-2501

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Change-of-ownership history

DateEventCounterparty
Jun 1, 2022 Change of Ownership
This provider was the seller
Inland Valley Hospice Care
CCN 551560 · CA · NPI 1346979028

National Provider Directory

Locations

15366 Eleventh St
Ste O
Victorville, CA 92395
Phone (442) 327-9500

Specialties & licenses

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

Addresses

Primary practice location

15366 11TH St Ste O
Victorville, CA 92395-3726

Mailing address

15366 11TH St Ste O
Victorville, CA 92395-3726
Phone (760) 243-2501

Other providers in Victorville, CA

All providers in Victorville, CA · Community Based Hospice Care Agency in California

Sources for this page

Verify at the official NPI Registry.