Active NPI
Precious Love Hospice
- Community Based Hospice Care Agency
- Moreno Valley, CA
National Provider Identifier
1730561085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PRECIOUS LOVE HOSPICE
- Practice address
- 23800 Sunnymead Blvd Ste C
Moreno Valley, CA 92553-7731 - Phone
- (951) 221-1687
- Fax
- (909) 494-7772
- NPI assigned
- Jun 23, 2015
- 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
- Magdalene Agboghidi
- Title
- Ceo/Owner
- Phone
- (951) 897-9002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
23800 Sunnymead Blvd Ste C
Moreno Valley, CA 92553-7731
Mailing address
1807 North D Street,
San Bernardino, CA 92405-7731
Phone (951) 221-1687
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2210591 | Precious Love Hospice, Inc. | Certificate of waiver | Jan 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
23800 Sunnymead Blvd
Ste C
Moreno Valley, CA 92553
Phone (951) 221-1687
1807 N D St
Sn Bernrdno, CA 92405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592784000000",
"number": "1730561085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 NORTH D STREET,",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924057731",
"telephone_number": "951-221-1687",
"fax_number": "909-494-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23800 SUNNYMEAD BLVD STE C",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925537731",
"telephone_number": "951-221-1687",
"fax_number": "909-494-7772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECIOUS LOVE HOSPICE",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-23",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A",
"authorized_official_last_name": "AGBOGHIDI",
"authorized_official_first_name": "MAGDALENE",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "951-897-9002"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.