Healthcare Provider Details

I. General information

NPI: 1134733603
Provider Name (Legal Business Name): STEADFAST HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2020
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7177 BROCKTON AVE STE 215-1
RIVERSIDE CA
92506-2631
US

IV. Provider business mailing address

7177 BROCKTON AVE STE 215-1
RIVERSIDE CA
92506-2631
US

V. Phone/Fax

Practice location:
  • Phone: 909-936-8480
  • Fax:
Mailing address:
  • Phone: 909-936-8480
  • 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: CHRISTINE RENEE OJEDA
Title or Position: CEO
Credential:
Phone: 562-316-6054