San Bernardino Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SAN BERNARDINO HOSPICE LLC

Practice address

13139 Central Ave
Suite E
Chino, CA 91710-4126

Phone

(951) 310-8367

Fax

(909) 628-4665

NPI assigned

Jul 10, 2013

Organization subpart

No

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

Authorized official

Name

Desiree Bradford

Title

Ceo/President

Phone

(951) 310-8367

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1558702142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13139 CENTRAL AVE",
            "address_2": "SUITE E",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104126",
            "telephone_number": "951-310-8367",
            "fax_number": "909-628-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13139 CENTRAL AVE",
            "address_2": "SUITE E",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104126",
            "telephone_number": "951-310-8367",
            "fax_number": "909-628-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BERNARDINO HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "951-310-8367"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPH HOSPICE LICENSE",
            "identifier": "550002550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• San Bernardino County Department of Behavioral Health Chino Multipe Di
• San Bernardino Health Medical Group Inc
• San Bernardino Women's Health Medical Group, Inc.
• Natalie Elena San Gil
• Ana Sanchez
• Jaselynn Sanchez
• Elvia Ramirez Sandhu, P.A.

• Community Based Hospice Care Agency in Chino, CA
• Providers in Chino, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.