Hospice Spectrum Inland Empire

Organization Active NPI Community Based Hospice Care Agency · Rancho Cucamonga, CA

NPI 1659620987 · NPPES record last updated Jul 7, 2014

Key facts

NPI
1659620987
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
License
550002207 (CA)
Legal business name
HOSPICE SPECTRUM INLAND EMPIRE
Practice address
7365 Carnelian Street
Suite 220
Rancho Cucamonga, CA 91730-1129
Phone
(909) 256-4050
Fax
(909) 440-8100
NPI assigned
Aug 31, 2012
Organization subpart
No

Authorized official

Name
Mr. Joel G Ombao, NURSE PRACTITIONER
Title
President
Phone
(909) 800-0883

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Locations

7365 Carnelian St
Ste 220
Rancho Cucamonga, CA 91730
Phone (909) 256-4050

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X
Community Based Hospice Care Agency 251G00000X 550002207 CA Yes

Addresses

Primary practice location

7365 Carnelian Street
Suite 220
Rancho Cucamonga, CA 91730-1129

Mailing address

7365 Carnelian Street
Suite 220
Rancho Cucamonga, CA 91730-1129
Phone (909) 256-4050

Other names

  • Assurance Hospice Inland Empire Inc Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 7, 2014.

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1659620987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN STREET",
            "address_2": "SUITE 220",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301129",
            "telephone_number": "909-256-4050",
            "fax_number": "909-440-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN STREET",
            "address_2": "SUITE 220",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301129",
            "telephone_number": "909-256-4050",
            "fax_number": "909-440-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE SPECTRUM INLAND EMPIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "OMBAO",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-800-0883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550002207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assurance Hospice Inland Empire Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

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Sources for this page

Verify at the official NPI Registry.