Healthcare Provider Details

I. General information

NPI: 1063080307
Provider Name (Legal Business Name): STRENGTH & WELLNESS HOSPICE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2021
Last Update Date: 06/14/2021
Certification Date: 05/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 NORTH LAUREL AVE SUITE 114
ONTARIO CA
91762-3213
US

IV. Provider business mailing address

575 NORTH LAUREL AVE SUITE 114
ONTARIO CA
91762-3213
US

V. Phone/Fax

Practice location:
  • Phone: 909-927-5655
  • Fax: 909-922-7598
Mailing address:
  • Phone: 909-927-5655
  • Fax: 909-922-7598

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: MR. HAIK OHANIAN
Title or Position: OWNER, CEO, CFO, SECRETARY
Credential:
Phone: 909-927-5655