Organization Active NPI

Gba Hospice Care, Inc.

  • Home Health Agency
  • Upland, CA
National Provider Identifier
1871932525
Registry record updated Jun 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GBA HOSPICE CARE, INC.
Practice address
820 N Mountain Ave Ste 107
Upland, CA 91786-4163
Phone
(909) 301-0098
Fax
(909) 334-4211
NPI assigned
Jun 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2013

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

Authorized official

Name
Eva A Elizalde
Title
Ceo
Phone
(909) 301-0098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

820 N Mountain Ave Ste 107
Upland, CA 91786-4163

Mailing address

820 N Mountain Ave Ste 107
Upland, CA 91786-4163
Phone (909) 301-0098

National Provider Directory

National Provider Directory

Locations

8280 Utica Ave
#210
Rancho Cucamonga, CA 91730
Phone (909) 758-5736

NPI Registry JSON

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

{
    "created_epoch": "1371340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371340800000",
    "number": "1871932525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N MOUNTAIN AVE STE 107",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864163",
            "telephone_number": "909-301-0098",
            "fax_number": "909-334-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N MOUNTAIN AVE STE 107",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864163",
            "telephone_number": "909-301-0098",
            "fax_number": "909-334-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBA HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-16",
        "last_updated": "2013-06-16",
        "status": "A",
        "authorized_official_last_name": "ELIZALDE",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-301-0098"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Jun 16, 2013; 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.