Healthcare Provider Details

I. General information

NPI: 1497353817
Provider Name (Legal Business Name): SPRING HOPE HOSPICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2020
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14718 PIPELINE AVE STE C
CHINO HILLS CA
91709-1299
US

IV. Provider business mailing address

14718 PIPELINE AVE STE C
CHINO HILLS CA
91709-1299
US

V. Phone/Fax

Practice location:
  • Phone: 562-404-8883
  • Fax: 562-404-8884
Mailing address:
  • Phone: 562-404-8883
  • Fax: 562-404-8884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: HERMAWAN DJUHANA
Title or Position: PRESIDENT/CEO
Credential:
Phone: 213-361-2888