Organization Active NPI

Lighthouse Hospice Care Inc

  • Community Based Hospice Care Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1932454360
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LIGHTHOUSE HOSPICE CARE INC
Practice address
10535 Foothill Blvd Ste 408
Rancho Cucamonga, CA 91730-3829
Phone
(909) 989-8884
Fax
(909) 989-8834
NPI assigned
Jul 23, 2012
Last updated
Jun 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Lilibeth Sioson San Gabriel, RN
Title
Cfo
Phone
(909) 989-8884

Specialties & licenses 1

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

Addresses

Primary practice location

10535 Foothill Blvd Ste 408
Rancho Cucamonga, CA 91730-3829

Mailing address

1763 June LN
Glendale, CA 91208-2315
Phone (909) 989-8884

Other identifiers 1

IdentifierTypeStateIssuer
1932454360OtherCANPI NUMBER

Care Compare: Hospice

Medicare Care Compare
Listed as
Lighthouse Hospice Care, Inc.CCN B51638
Certified
Jan 19, 2023

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

10535 Foothill Blvd
Ste 408
Rancho Cucamonga, CA 91730
Phone (909) 989-8884

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1932454360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 JUNE LN",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082315",
            "telephone_number": "909-989-8884",
            "fax_number": "909-989-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 FOOTHILL BLVD STE 408",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303829",
            "telephone_number": "909-989-8884",
            "fax_number": "909-989-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "SAN GABRIEL",
        "authorized_official_first_name": "LILIBETH",
        "authorized_official_middle_name": "SIOSON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-989-8884",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1932454360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.