ANTELOPE VALLEY SUPPORTIVE CARE AND HOSPICE NON-PROFIT
NPI 1114730553
Hospice Care, Community Based in Lancaster, CA
About Antelope Valley Supportive Care And Hospice Non-profit NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTELOPE VALLEY SUPPORTIVE CARE AND HOSPICE NON-PROFIT (NPI 1114730553) is a healthcare organization registered as a hospice care, community based in Lancaster, California and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Daniel Khodabakhsh, Ceo / Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2162644
Antelope Valley Supportive Care And Hospice, Inc · Lancaster, CAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LANCASTER, CA 93534
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Antelope Valley Supportive Care And Hospice Non-Profit's NPI number?
The NPI number for Antelope Valley Supportive Care And Hospice Non-Profit is 1114730553. It was assigned to this organization in the NPPES registry on January 29, 2025.
Where is Antelope Valley Supportive Care And Hospice Non-Profit located?
Antelope Valley Supportive Care And Hospice Non-Profit is located at 1505 W Avenue J Ste 303, Lancaster, CA 93534. The listed phone number is (661) 247-8345.
What is Antelope Valley Supportive Care And Hospice Non-Profit's specialty?
The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.
Does Antelope Valley Supportive Care And Hospice Non-Profit hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2162644) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Antelope Valley Supportive Care And Hospice Non-Profit was last updated on January 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.