Organization Active NPI

Precious Love Hospice

  • Community Based Hospice Care Agency
  • Moreno Valley, CA
National Provider Identifier
1730561085
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jun 22, 2020

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2210591Precious Love Hospice, Inc.23800 Sunnymead Blvd Suite C, Moreno Valley, CA 92553Certificate of waiverJan 21, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.