Organization Active NPI

Garden Gate Hospice Inc

  • Community Based Hospice Care Agency
  • San Bernardino, CA
National Provider Identifier
1770167884
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GARDEN GATE HOSPICE INC
Practice address
255 N D Street
Ste 200-Xxi
San Bernardino, CA 92401
Phone
(707) 514-6171
NPI assigned
May 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Josephine Villapana
Title
Owner/Ceo
Phone
(707) 514-6171

Specialties & licenses 1

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

Addresses

Primary practice location

255 N D Street
Ste 200-Xxi
San Bernardino, CA 92401

Mailing address

255 N D Street
Ste 200-Xxi
San Bernardino, CA 92401
Phone (707) 514-6171

National Provider Directory

National Provider Directory

Locations

255 N D St
Ste 200XXI
San Bernardino, CA 92401
Phone (707) 514-6171

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1770167884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N D STREET",
            "address_2": "STE 200-XXI",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92401",
            "telephone_number": "707-514-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N D STREET",
            "address_2": "STE 200-XXI",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92401",
            "telephone_number": "707-514-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN GATE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "VILLAPANA",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "707-514-6171"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "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 May 6, 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.