Candlelight Hospice and Home Health LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CANDLELIGHT HOSPICE AND HOME HEALTH LLC

Practice address

1264 S Waterman Ave Ste 50
San Bernardino, CA 92408-2851

Phone

(909) 763-3554

Fax

(909) 763-3552

NPI assigned

Dec 20, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Anil Mall, MD

Title

Administrator

Phone

(909) 763-3554

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1922768738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 S WATERMAN AVE STE 50",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082851",
            "telephone_number": "909-763-3554",
            "fax_number": "909-763-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 S WATERMAN AVE STE 50",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082851",
            "telephone_number": "909-763-3554",
            "fax_number": "909-763-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLELIGHT HOSPICE AND HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "MALL",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-763-3554",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Campos
• Susana Campuzano
• Jack Lawrence Canady
• Kelly Canady
• Sandi Canales, DSP
• Khendra P Candor
• Nidia Yamileth Canello
• Cianela Canlapan
• Bienvenido Banal Canlas, M.D.
• Derrick Cannon I

• Community Based Hospice Care Agency in San Bernardino, CA
• Providers in San Bernardino, 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 Dec 20, 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.