Organization Active NPI

DFT Healthcare Group Inc.

Doing business as Goldberg Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Upland, CA
National Provider Identifier
1619377702
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DFT HEALTHCARE GROUP INC.
Doing business as
Goldberg Hospice Care, Inc.
Practice address
820 N Mountain Ave Ste 208
Upland, CA 91786-4163
Phone
(909) 887-9588
Fax
(909) 887-0119
NPI assigned
Aug 26, 2014
Organization subpart
Yes
Parent organization
DFT HEALTHCARE GROUP INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Harold Fong, RN
Title
Ceo
Phone
(951) 816-0700

Specialties & licenses 1

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

Addresses

Primary practice location

820 N Mountain Ave Ste 208
Upland, CA 91786-4163

Mailing address

820 N Mountain Ave Ste 208
Upland, CA 91786-4163
Phone (909) 887-9588

Other names 1

  • GOLDBERG HOSPICE CARE, INC. Doing business as

National Provider Directory

National Provider Directory
Part of
DFT Healthcare Group Inc

Locations

820 N Mountain Ave
Ste 108
Upland, CA 91786
Phone (909) 256-4175

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1619377702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N MOUNTAIN AVE STE 208",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864163",
            "telephone_number": "909-887-9588",
            "fax_number": "909-887-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N MOUNTAIN AVE STE 208",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864163",
            "telephone_number": "909-887-9588",
            "fax_number": "909-887-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFT HEALTHCARE GROUP INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DFT HEALTHCARE GROUP INC.",
        "enumeration_date": "2014-08-26",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-816-0700",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDBERG HOSPICE CARE, INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GOLDBERG HOSPICE CARE, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 27, 2023; 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.