Organization Active NPI

Pistis Home Health and Palliative Care, Inc

  • Home Health Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1396481131
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PISTIS HOME HEALTH AND PALLIATIVE CARE, INC
Practice address
9087 Arrow Rte Ste 265
Rancho Cucamonga, CA 91730-4487
Phone
(951) 265-7660
NPI assigned
May 5, 2022
Last updated
May 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Bernice Ivoko
Title
Ceo/President
Phone
(951) 267-7660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9087 Arrow Rte Ste 265
Rancho Cucamonga, CA 91730-4487

Mailing address

9087 Arrow Rte Ste 265
Rancho Cucamonga, CA 91730-4487
Phone (951) 265-7660

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMAIL Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

9087 Arrow Rte
Ste 265
Rancho Cucamonga, CA 91730
Phone (562) 824-5099

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1396481131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9087 ARROW RTE STE 265",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304487",
            "telephone_number": "951-265-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9087 ARROW RTE STE 265",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304487",
            "telephone_number": "951-265-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISTIS HOME HEALTH AND PALLIATIVE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "IVOKO",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "951-267-7660"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMAIL",
            "affiliation": "N",
            "endpointDescription": "pistishomehealth@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CARE COORDINATION",
            "address_1": "9087 Arrow Rte Ste 265",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917304487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.