Organization Active NPI

Ambiance Care Hospice

  • Community Based Hospice Care Agency
  • Upland, CA
National Provider Identifier
1871181701
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AMBIANCE CARE HOSPICE
Practice address
818 N Mountain Ave # 203F
Upland, CA 91786-4167
Phone
(951) 267-7692
Fax
(951) 254-9900
NPI assigned
Jan 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Authorized official

Name
Kennedy Lamaria
Title
Ceo
Phone
(951) 267-7692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

818 N Mountain Ave # 203F
Upland, CA 91786-4167

Mailing address

818 N Mountain Ave # 203F
Upland, CA 91786-4167
Phone (951) 267-7692

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1871181701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N MOUNTAIN AVE # 203F",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864167",
            "telephone_number": "951-267-7692",
            "fax_number": "951-254-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N MOUNTAIN AVE # 203F",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864167",
            "telephone_number": "951-267-7692",
            "fax_number": "951-254-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBIANCE CARE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "LAMARIA",
        "authorized_official_first_name": "KENNEDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-267-7692"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.