EAGLES WINGS HOSPICE, LLC (NPI# 1649885468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649885468 |
| Entity Type | Organization |
| Organization Name | EAGLES WINGS HOSPICE, LLC |
| Practice Address |
255 N. D Street Suite 200-xix San Bernardino CA 92401 |
| Practice Telephone | 9099664053 |
| Practice Fax Number | 9099664052 |
| Mailing Telephone | 9099664053 |
| Mailing Fax Number | 9099664052 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | MARY JANE DE LA CRUZ (OWNER) |
| Authorized Official Telephone | 7029290021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
255 N. D STREET SUITE 200-XIX |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457831398 | Omar Torres | Case Manager/Care Coordinator | 574 N Arrowhead Ave., San Bernardino, CA 92401 | 2018-08-20 |
| 1104354539 | Llesenia Aleman | Case Manager/Care Coordinator | 597 North Arrowhead Ave, San Bernardino, CA 92401 | 2017-05-30 |
| 1669916193 | Yvonne Castro | Marriage & Family Therapist | 572 N. Arrowhead Ave., Suite 200, San Bernardino, CA 92401 | 2016-12-19 |
| 1811342132 | Maria Teresa Rodriguez Cortes | Counselor | 572 N. Arrowhead Ave. Suite 100, San Bernardino, CA 92401 | 2016-04-25 |
| 1841603339 | Kelly Michelle Cottingham | Licensed Practical Nurse | 350 W. Fifth Street, Suite 212, San Bernardino, CA 92401 | 2014-06-03 |
| 1558781245 | Desiree Inez Harris | Counselor | 572 N Arrowhead Ave #200, San Bernardino, CALIFORNIA 92401 | 2014-04-21 |
| 1194159970 | Sabrina Shrita Thakur | Marriage & Family Therapist | 572 N Arrowhead, San Bernardino, CA 92401 | 2013-08-28 |
| 1770845497 | Youths' Hope Licensed Clinical Social Worker Inc | Counselor | 255 N. D Street, Suite 400, San Bernardino, CA 92401 | 2012-06-08 |
| 1235461427 | Erin Nicole Stines | Recreation Therapist | 572 N. Arrowhead Ave. Suite 200, San Bernardino, CA 92401 | 2010-02-12 |
| 1013149327 | Athena Christine Farmer | Massage Therapist | 123 North E Street, Lalama Chiropractic Offices, San Bernardino, CA 92401 | 2009-08-20 |
| Find all providers in zip 92401 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991582 | Hospice of The Light | Hospice Care, Community Based | 435 Orange Show Ln Ste 200, San Bernardino, CA 92408-2031 | 2020-10-30 |
| 1699382267 | Juno Healthcare Inc | Hospice Care, Community Based | 621 Carnegie Dr Ste 190, San Bernardino, CA 92408-3511 | 2020-09-28 |
| 1043826811 | Aviva Hospice, Inc. | Hospice Care, Community Based | 255 N D St Ste 219, San Bernardino, CA 92401-1713 | 2020-09-17 |
| 1205440294 | Agape Hospice Inc | Hospice Care, Community Based | 1264 S Waterman Ave Ste 46, San Bernardino, CA 92408-2851 | 2020-09-07 |
| 1962012401 | Victory Care Hospice | Hospice Care, Community Based | 1254 S Waterman Ave Ste 54, San Bernardino, CA 92408-2859 | 2020-08-07 |
| 1366051260 | Amaya Hospice, Inc. | Hospice Care, Community Based | 435 Orange Show Ln Ste 106, San Bernardino, CA 92408-2015 | 2020-07-27 |
| 1730798836 | All Lives Matter Hospice | Hospice Care, Community Based | 1254 S Waterman Ave Ste 45, San Bernardino, CA 92408-2858 | 2020-07-24 |
| 1669096376 | Alb Hospice Care Inc | Hospice Care, Community Based | 1274 S Waterman Ave Ste 122, San Bernardino, CA 92408-2826 | 2020-05-29 |
| 1679196232 | Bright Horizon Hospice Corporation | Hospice Care, Community Based | 225 W Hospitality Ln Ste 304, San Bernardino, CA 92408-3221 | 2020-05-18 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92401 |
Please comment or provide details below to improve the information on EAGLES WINGS HOSPICE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.