Active NPI
Tree of Xenia Palliative & Hospice Care
- Community Based Hospice Care Agency
- Rancho Cucamonga, CA
National Provider Identifier
1841757044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- TREE OF XENIA PALLIATIVE & HOSPICE CARE
- Practice address
- 9121 Haven Ave Ste 130
Rancho Cucamonga, CA 91730-8564 - Phone
- (909) 580-9070
- Fax
- (909) 580-9071
- NPI assigned
- Feb 23, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip Pingul
- Title
- President/Ceo/Administrator
- Phone
- (909) 580-9070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
9121 Haven Ave Ste 130
Rancho Cucamonga, CA 91730-8564
Mailing address
9121 Haven Ave Ste 130
Rancho Cucamonga, CA 91730-8564
Phone (909) 580-9070
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2191298 | Tree of Xenia Palliative & Hospice Care | Certificate of waiver | Aug 24, 2026 |
National Provider Directory
National Provider DirectoryLocations
9121 Haven Ave
Ste 130
Rancho Cucamonga, CA 91730
Phone (909) 580-9070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550880000000",
"number": "1841757044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9121 HAVEN AVE STE 130",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917308564",
"telephone_number": "909-580-9070",
"fax_number": "909-580-9071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9121 HAVEN AVE STE 130",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917308564",
"telephone_number": "909-580-9070",
"fax_number": "909-580-9071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREE OF XENIA PALLIATIVE & HOSPICE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-23",
"last_updated": "2019-02-23",
"status": "A",
"authorized_official_last_name": "PINGUL",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "PRESIDENT/CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "909-580-9070"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2019; 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.