Organization Active NPI

Safeguard Hospice, LLC

  • Community Based Hospice Care Agency
  • San Bernardino, CA
National Provider Identifier
1750041463
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SAFEGUARD HOSPICE, LLC
Practice address
1264 S Waterman Ave Ste 40
San Bernardino, CA 92408-2849
Phone
(909) 763-3549
Fax
(909) 763-3551
NPI assigned
Dec 21, 2021
Last updated
Dec 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Mr. Anil Mall, MD
Title
Administrator
Phone
(909) 763-3549

Specialties & licenses 1

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

Addresses

Primary practice location

1264 S Waterman Ave Ste 40
San Bernardino, CA 92408-2849

Mailing address

1264 S Waterman Ave Ste 40
San Bernardino, CA 92408-2849
Phone (909) 763-3549

National Provider Directory

National Provider Directory

Locations

1264 S Waterman Ave
Ste 40
San Bernardino, CA 92408
Phone (909) 763-3549

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1750041463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 S WATERMAN AVE STE 40",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082849",
            "telephone_number": "909-763-3549",
            "fax_number": "909-763-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 S WATERMAN AVE STE 40",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082849",
            "telephone_number": "909-763-3549",
            "fax_number": "909-763-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEGUARD HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "MALL",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-763-3549",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.