Healthcare Provider Details

I. General information

NPI: 1023502531
Provider Name (Legal Business Name): VIGILANS HOSPICE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2018
Last Update Date: 06/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E REDLANDS BLVD STE 219
REDLANDS CA
92373-4724
US

IV. Provider business mailing address

101 E REDLANDS BLVD STE 219
REDLANDS CA
92373-4724
US

V. Phone/Fax

Practice location:
  • Phone: 909-748-7980
  • Fax: 909-781-2496
Mailing address:
  • Phone:
  • Fax:

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: JOEL ZAMORA
Title or Position: SECRETARY
Credential:
Phone: 909-810-0185