Oneida Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ONEIDA HOSPICE LLC

Practice address

1264 S Waterman Ave Ste 38
San Bernardino, CA 92408-2849

Phone

(909) 763-3345

Fax

(909) 763-3290

NPI assigned

Dec 16, 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) 763-3345

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1952060907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 S WATERMAN AVE STE 38",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082849",
            "telephone_number": "909-763-3345",
            "fax_number": "909-763-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 S WATERMAN AVE STE 38",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082849",
            "telephone_number": "909-763-3345",
            "fax_number": "909-763-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEIDA HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "MALL",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-763-3345",
        "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": []
}

• One Day Health, Inc
• One Reliance in Home Support LLC.
• One Stop Multi-Specialty Medical Group, Inc.
• Bianca Oneal
• Michell Lynn Oneal
• Onestop Multi Specialty Medical Group and Therapy
• Huynh Anh Ong, PHARMD
• Yo-Hang Ong, MD
• Jemima K Onyango
• Shawn Onyedumekwu

• 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 16, 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.