Active NPI
Ambiance Care Hospice
- Community Based Hospice Care Agency
- Upland, CA
National Provider Identifier
1871181701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.