Active NPI
Sustainable Health Initiative Inc
- Community Based Hospice Care Agency
- Diamond Bar, CA
National Provider Identifier
1700461563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Inland Valley Home Health Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Diamond Bar, CA
- NPI 1790360550
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.