Abbot Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ABBOT HOSPICE INC

Practice address

11010 Arrow Rte Ste 102
Rancho Cucamonga, CA 91730-4827

Phone

(909) 476-8124

Fax

(267) 937-6246

NPI assigned

Sep 19, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Jane De la Cruz

Title

Ceo

Phone

(909) 476-8124

Specialties & licenses 1

Addresses

Listed as

Abbot Hospice IncCCN A01652

Ownership

For-Profit

Certified

Sep 16, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831618040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11010 ARROW RTE STE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304827",
            "telephone_number": "909-476-8124",
            "fax_number": "267-937-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11010 ARROW RTE STE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304827",
            "telephone_number": "909-476-8124",
            "fax_number": "267-937-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBOT HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-07-21",
        "certification_date": "2020-06-07",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "MARY JANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-476-8124",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Aurora Abalos
• Katherine Abarca
• Abeeha Abbas
• Daniel William Abbeal, D.C.
• Abbot Homehealth Inc
• Abby's Senior Home Care LLC (Amada Senior Care)
• Abc Pharmacy
• Taha Abdelaal, M.D
• Ashraf Abdelhak
• Manal K Abdelkarim, DDS

• 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.