Silverado Hospice San Bernardino, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SILVERADO HOSPICE SAN BERNARDINO, INC.

Doing business as

Silverado Hospice San Bernardino

Practice address

125 W Sierra Madre Ave
Azusa, CA 91702-2023

Phone

(949) 240-7200

Fax

(949) 705-4985

NPI assigned

Oct 15, 2021

Organization subpart

No

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

Authorized official

Name

Christian Sweetser

Title

Chief Financial Officer

Phone

(240) 240-7200

Specialties & licenses 1

Addresses

Other names 1

• Silverado Hospice San Bernardino Doing business as

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1760145817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 OAK CYN STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926185233",
            "telephone_number": "949-240-7200",
            "fax_number": "949-705-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W SIERRA MADRE AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022023",
            "telephone_number": "949-240-7200",
            "fax_number": "949-705-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERADO HOSPICE SAN BERNARDINO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "SWEETSER",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "240-240-7200"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silverado Hospice San Bernardino",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary B Sharon
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• Lynette Kathleen Singleton, CADACII
• Keiloni Marie Smith
• Scott Lee Smith, CADC-I

• Community Based Hospice Care Agency in Azusa, CA
• Providers in Azusa, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.