St Mariam Hospice Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST MARIAM HOSPICE CARE INC

Practice address

2068 Orange Tree LN Ste 222
Redlands, CA 92374-4555

Phone

(888) 247-6067

Fax

(909) 494-7708

NPI assigned

Jun 22, 2020

Last updated

Aug 5, 2024By 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

Mr. Kent Bagni

Title

Ceo

Phone

(888) 247-6067

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1639795917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2068 ORANGE TREE LN STE 222",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744555",
            "telephone_number": "888-247-6067",
            "fax_number": "909-494-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2068 ORANGE TREE LN STE 222",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744555",
            "telephone_number": "888-247-6067",
            "fax_number": "909-494-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARIAM HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "BAGNI",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-247-6067",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Redlands, CA
• Providers in Redlands, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.