Healthcare Provider Details

I. General information

NPI: 1386208379
Provider Name (Legal Business Name): APGUARD HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2019
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 LIME ST STE 525
RIVERSIDE CA
92501-0918
US

IV. Provider business mailing address

3600 LIME ST STE 525
RIVERSIDE CA
92501-0918
US

V. Phone/Fax

Practice location:
  • Phone: 909-488-0688
  • Fax:
Mailing address:
  • Phone: 909-488-0688
  • 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: RODNEY KHAJADORUI
Title or Position: CEO
Credential:
Phone: 818-903-2456