Prominence Hospice Services, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PROMINENCE HOSPICE SERVICES, LLC

Practice address

9613 Arrow Rte
Suite L BLDG. 3
Rancho Cucamonga, CA 91730-4552

Phone

(626) 780-4741

NPI assigned

Mar 28, 2016

Organization subpart

No

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

Authorized official

Name

Luis Tungol

Title

Board Member

Phone

(626) 780-4741

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1659733772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 ARROW RTE",
            "address_2": "SUITE L BLDG. 3",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304552",
            "telephone_number": "626-780-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613 ARROW RTE",
            "address_2": "SUITE L BLDG. 3",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304552",
            "telephone_number": "626-780-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMINENCE HOSPICE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "TUNGOL",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "626-780-4741"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.