Healthcare Provider Details

I. General information

NPI: 1366064354
Provider Name (Legal Business Name): ANCHOR HOSPICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2020
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8333 FOOTHILL BLVD STE 103
RANCHO CUCAMONGA CA
91730-3155
US

IV. Provider business mailing address

400 N MOUNTAIN AVE STE 123E
UPLAND CA
91786-5176
US

V. Phone/Fax

Practice location:
  • Phone: 909-294-3825
  • Fax: 909-294-3439
Mailing address:
  • Phone: 909-294-3825
  • Fax: 909-294-3439

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: KYLE A DICHOSO
Title or Position: CEO/PRESIDENT
Credential:
Phone: 909-294-3825