Brenton Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550003871 Issued in CA

Legal business name

BRENTON HOSPICE INC.

Practice address

8560 Vineyard Avenue
Suite 410
Rancho Cucamonga, CA 91730-4349

Phone

(909) 727-3707

Fax

(909) 727-3326

NPI assigned

Aug 17, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Scott Mong

Title

President

Phone

(909) 727-3707

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1780139964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8560 VINEYARD AVENUE",
            "address_2": "SUITE 410",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304349",
            "telephone_number": "909-727-3707",
            "fax_number": "909-727-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8560 VINEYARD AVENUE",
            "address_2": "SUITE 410",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304349",
            "telephone_number": "909-727-3707",
            "fax_number": "909-727-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTON HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MONG",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-727-3707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550003871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Brandon
• Candy Bravo
• Malayna Bray
• Rakeshia J Breaux, LMFT
• Wendy Marie Breitzman, DDS
• Elysia Bressler, PHARMD
• Jessica Raquel Brewer
• Brianne Nicole Bridgeland, ARNP
• Jennica Bridges
• Rayne Eugenia Bridges

• Community Based Hospice Care Agency in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Jun 21, 2018; 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.