Healthcare Provider Details

I. General information

NPI: 1578131280
Provider Name (Legal Business Name): EMHOSPICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2021
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6729 HERMOSA AVE UNIT 907
RANCHO CUCAMONGA CA
91701-6105
US

IV. Provider business mailing address

6729 HERMOSA AVE UNIT 907
RANCHO CUCAMONGA CA
91701-6105
US

V. Phone/Fax

Practice location:
  • Phone: 909-330-0696
  • Fax: 323-250-0052
Mailing address:
  • Phone: 909-330-0696
  • Fax: 323-250-0052

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: MARIAM SNDOYAN
Title or Position: CEO
Credential:
Phone: 909-330-0696