Reverend Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

REVEREND HOSPICE INC

Practice address

275 W Hospitality LN Ste 302E
San Bernardino, CA 92408-3265

Phone

(909) 571-0040

Fax

(909) 575-3681

NPI assigned

Sep 1, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Jenelyn Almonte

Title

President

Phone

(909) 513-4116

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1821766023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26459 SEVILLE LN",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546116",
            "telephone_number": "909-571-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 302E",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083265",
            "telephone_number": "909-571-0040",
            "fax_number": "909-575-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVEREND HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "ALMONTE",
        "authorized_official_first_name": "JENELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-513-4116",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.