COVENTRY HOSPICE
NPI 1164034104
Hospice Care, Community Based in Montclair, CA
About Coventry Hospice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COVENTRY HOSPICE (NPI 1164034104) is a healthcare organization registered as a hospice care, community based in Montclair, California and active in the NPI registry since August 2020. The organization lists Kennedy Lamaria, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coventry Hospice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Coventry Hospice's NPI number?
The NPI number for Coventry Hospice is 1164034104. It was assigned to this organization in the NPPES registry on August 20, 2020.
Where is Coventry Hospice located?
Coventry Hospice is located at 5050 Palo Verde St Ste 123, Montclair, CA 91763. The listed phone number is (909) 493-7758.
What is Coventry Hospice's specialty?
The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.
Is Coventry Hospice enrolled in Medicare?
Yes. Coventry Hospice is registered in the Medicare PECOS enrollment system.
When is Coventry Hospice's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Hospice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for Coventry Hospice was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Coventry Hospice · NPI 1164034104
Hospice Care, Community Based organization in Montclair, California. Organization record, active in the CMS NPPES registry since August 20, 2020.
## Identity
- **NPI:** 1164034104 (Entity type: Organization)
- **Enumerated:** August 20, 2020
- **Primary specialty:** Hospice Care, Community Based · taxonomy 251G00000X
- **Organization subpart:** No
- **Authorized official:** Kennedy Lamaria, PRESIDENT
## Practice location
- **Address:** 5050 PALO VERDE ST STE 123, Montclair, CA 91763-2334
- **Phone:** (909) 493-7758
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Part A, California, Hospice) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1164034104) · Data from the CMS NPPES public registry.