Light of Life Hospice Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LIGHT OF LIFE HOSPICE CARE, LLC

Practice address

6101 Cherry Ave
Suite 205
Fontana, CA 92336-5362

Phone

(818) 640-7684

Fax

(909) 463-7442

NPI assigned

Oct 4, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Marlon G. Mallari, LVN

Title

President

Phone

(818) 640-7985

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1649607649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 CHERRY AVE",
            "address_2": "SUITE 205",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365362",
            "telephone_number": "818-640-7684",
            "fax_number": "909-463-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 CHERRY AVE",
            "address_2": "SUITE 205",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365362",
            "telephone_number": "818-640-7684",
            "fax_number": "909-463-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT OF LIFE HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "MALLARI",
        "authorized_official_first_name": "MARLON",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-640-7985",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimberly June Light-Allende, PSY.D.
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• Catalina C. Lim, MD
• Nancy Go Lim, MD

• Community Based Hospice Care Agency in Fontana, CA
• Providers in Fontana, 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 4, 2013; 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.