Pristine Hospice Care Plus, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PRISTINE HOSPICE CARE PLUS, INC.

Practice address

9087 Arrow Rte Ste 284
RCH Cucamonga, CA 91730-4478

Phone

(909) 999-5088

Fax

(909) 999-5087

NPI assigned

May 7, 2021

Last updated

May 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bernice Ivoko

Title

Ceo

Phone

(909) 999-5088

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1467036202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9087 ARROW RTE STE 280",
            "city": "RCH CUCAMONGA",
            "state": "CA",
            "postal_code": "917304478",
            "telephone_number": "909-999-5088",
            "fax_number": "909-999-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9087 ARROW RTE STE 284",
            "city": "RCH CUCAMONGA",
            "state": "CA",
            "postal_code": "917304478",
            "telephone_number": "909-999-5088",
            "fax_number": "909-999-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE HOSPICE CARE PLUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "IVOKO",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-999-5088"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.GMAIL.COM",
            "affiliation": "N",
            "address_1": "9087 Arrow Rte Ste 284",
            "city": "Rch Cucamonga",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917304478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.GMAIL.COM",
            "affiliation": "N",
            "address_1": "9087 Arrow Rte Ste 280",
            "city": "Rch Cucamonga",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917304478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.