Organization Active NPI

Sustainable Health Initiative Inc

  • Community Based Hospice Care Agency
  • Diamond Bar, CA
National Provider Identifier
1700461563
Registry record updated Dec 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SUSTAINABLE HEALTH INITIATIVE INC
Practice address
414 S Prospectors Rd Ste C2
Diamond Bar, CA 91765-1615
Phone
(909) 225-2721
NPI assigned
Mar 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2023

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

Authorized official

Name
Mr. Mohammed Arif Khan
Title
Cfo
Phone
(909) 225-2721

Specialties & licenses 1

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

Addresses

Primary practice location

414 S Prospectors Rd Ste C2
Diamond Bar, CA 91765-1615

Mailing address

21809 Paint Brush LN
Diamond Bar, CA 91765-2834
Phone (909) 225-2721

Other names 1

  • Inland Valley Hospice & Palliative Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Inland Valley Home Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

414 S Prospectors Rd
Ste C2
Diamond Bar, CA 91765
Phone (909) 225-2721

NPI Registry JSON

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703980800000",
    "number": "1700461563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21809 PAINT BRUSH LN",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652834",
            "telephone_number": "909-225-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 S PROSPECTORS RD STE C2",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651615",
            "telephone_number": "909-225-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSTAINABLE HEALTH INITIATIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-13",
        "last_updated": "2023-12-31",
        "certification_date": "2023-12-31",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "ARIF",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-225-2721",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inland Valley Hospice & Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.