Cerebro Palliative and Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CEREBRO PALLIATIVE AND HOSPICE CARE, INC.

Practice address

337 N Vineyard Ave Ste 400-3
Ontario, CA 91764-4453

Phone

(909) 757-1405

Fax

(909) 904-8827

NPI assigned

Jun 1, 2021

Organization subpart

No

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

Authorized official

Name

Roberto Rubillar Jr.

Title

Ceo/President

Phone

(909) 757-1405

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1861068819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 N VINEYARD AVE STE 400-3",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644453",
            "telephone_number": "909-757-1405",
            "fax_number": "909-904-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 N VINEYARD AVE STE 400-3",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644453",
            "telephone_number": "909-757-1405",
            "fax_number": "909-904-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBRO PALLIATIVE AND HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "RUBILLAR JR.",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "909-757-1405"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cerebropalliativeandhospicecar@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "coordination of care",
            "address_1": "337 N Vineyard Ave Ste 400-3",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917644453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.