PRECIOUS LOVE HOSPICE NPI 1730561085

NPI Information

NPI: 1730561085
Provider Name: PRECIOUS LOVE HOSPICE
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2210591

Address:
23800 SUNNYMEAD BLVD STE C
MORENO VALLEY, CA
ZIP 92553
Phone: (951) 221-1687
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PRECIOUS LOVE HOSPICE is a hospice care community based in Moreno Valley, CA. PRECIOUS LOVE HOSPICE NPI is 1730561085. The provider is registered as an organization entity type.

The provider's business location address is:

23800 SUNNYMEAD BLVD STE C
MORENO VALLEY, CA
ZIP 92553-731
Phone: (951) 221-1687
Fax: (909) 494-7772

The provider's authorized official is Magdalene Agboghidi .
The authorized official title is Ceo/owner and has the following contact phone number (951) 897-9002.

The CLIA number assigned to this NPI record is 05D2210591 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2015 and was last updated on 6/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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