Lifebridge Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LIFEBRIDGE HOSPICE INC

Practice address

28751 Rancho California Rd Ste 205
Temecula, CA 92590-1865

Phone

(707) 514-6171

NPI assigned

Apr 9, 2021

Last updated

Apr 9, 2021By 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

Jose Villapana

Title

Owner/Ceo

Phone

(707) 514-6171

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1851971451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28751 RANCHO CALIFORNIA RD STE 205",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925901865",
            "telephone_number": "707-514-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28751 RANCHO CALIFORNIA RD STE 205",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925901865",
            "telephone_number": "707-514-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "VILLAPANA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "707-514-6171"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Temecula, CA
• Providers in Temecula, 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 Apr 9, 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.