Organization Active NPI

Nova Home Hospice Inc

  • Community Based Hospice Care Agency
  • Upland, CA
National Provider Identifier
1538462148
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
A89780 Issued in CA
Legal business name
NOVA HOME HOSPICE INC
Practice address
1551 W 13TH St
Suite 104
Upland, CA 91786-2900
Phone
(909) 946-1213
NPI assigned
Dec 21, 2010
Last updated
Dec 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Dr. Mostafa S Rahimi, M.D.
Title
President
Phone
(760) 686-3121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X A89780 CA Primary

Addresses

Primary practice location

1551 W 13TH St
Suite 104
Upland, CA 91786-2900

Mailing address

1551 W 13TH St
Suite 104
Upland, CA 91786-2900
Phone (909) 946-1213

National Provider Directory

National Provider Directory
Tax ID family
Nova Home Hospice Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1551 W 13th St
Ste 104
Upland, CA 91786
Phone (909) 643-1213

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1538462148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 W 13TH ST",
            "address_2": "SUITE 104",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862900",
            "telephone_number": "909-946-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 W 13TH ST",
            "address_2": "SUITE 104",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862900",
            "telephone_number": "909-946-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA HOME HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "RAHIMI",
        "authorized_official_first_name": "MOSTAFA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-686-3121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "A89780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.