Organization Active NPI

Tree of Xenia Palliative & Hospice Care

  • Community Based Hospice Care Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1841757044
Registry record updated Feb 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Feb 23, 2019

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2191298Tree of Xenia Palliative & Hospice Care9121 Haven Avenue Suite 130, Rancho Cucamonga, CA 91730Certificate of waiverAug 24, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.