Active NPI
Pistis Home Health and Palliative Care, Inc
- Home Health Agency
- Rancho Cucamonga, CA
National Provider Identifier
1396481131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
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.