Active NPI
Caritas Hospice Care Inc
- Community Based Hospice Care Agency
- Upland, CA
National Provider Identifier
1740859693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CARITAS HOSPICE CARE INC
- Practice address
- 517 N Mountain Ave Ste 203
Upland, CA 91786-5016 - Phone
- (909) 333-7133
- NPI assigned
- Jun 23, 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
- Jesus Ceballos Chiong Jr.
- Title
- Cfo
- Phone
- (909) 333-7133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
517 N Mountain Ave Ste 203
Upland, CA 91786-5016
Mailing address
517 N Mountain Ave Ste 203
Upland, CA 91786-5016
Phone (909) 333-7133
Other names 1
- CARITAS HOSPICE CARE INC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Fontana, CA
- NPI 1447619804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624406400000",
"number": "1740859693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 N MOUNTAIN AVE STE 203",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865016",
"telephone_number": "909-333-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 N MOUNTAIN AVE STE 203",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865016",
"telephone_number": "909-333-7133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARITAS HOSPICE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-01",
"status": "A",
"authorized_official_last_name": "CHIONG",
"authorized_official_first_name": "JESUS",
"authorized_official_middle_name": "CEBALLOS",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "909-333-7133",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CARITAS HOSPICE CARE INC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.