NPIMap

Organization Active NPI

Direct Provider of Hospice, Inc

  • Community Based Hospice Care Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1730525684
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DIRECT PROVIDER OF HOSPICE, INC
Practice address
6671 Vianza Place
Rancho Cucamonga, CA 91701-5829
Phone
(909) 319-0635
Fax
(909) 319-0635
NPI assigned
May 20, 2013
Organization subpart
Yes
Parent organization
DIRECT PROVIDER OF HEALTHCARE SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Jennybeth R Diego, RN
Title
President
Phone
(909) 319-0635

Specialties & licenses 1

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

Addresses

Primary practice location

6671 Vianza Place
Rancho Cucamonga, CA 91701-5829

Mailing address

9320 Baseline Rd
Suite B
Rancho Cucamonga, CA 91701-5829
Phone (909) 319-0635

Other names 1

  • Direct Provider of Healthcare Services, Inc Other name

National Provider Directory

National Provider Directory
Tax ID family
Direct Provider of Healthcare Services Inc2 organizations share this tax ID, including this one
Part of
Direct Provider of Healthcare Services Inc

Other organizations with this tax ID 1

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

Locations

9320 Base Line Rd
Ste B
Rancho Cucamonga, CA 91701
Phone (909) 483-8311

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1730525684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 BASELINE RD",
            "address_2": "SUITE B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917015829",
            "telephone_number": "909-319-0635",
            "fax_number": "909-944-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6671 VIANZA PLACE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917015829",
            "telephone_number": "909-319-0635",
            "fax_number": "909-319-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT PROVIDER OF HOSPICE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIRECT PROVIDER OF HEALTHCARE SERVICES, INC",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "DIEGO",
        "authorized_official_first_name": "JENNYBETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-319-0635",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Direct Provider of Healthcare Services, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.