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ALLY HOSPICE
NPI 1346764776
Hospice Care, Community Based in San Bernardino, CA

Active since July 27, 2017CLIA 05D2163100 · Waiver
202 E AIRPORT DR STE 240, SAN BERNARDINO, CA 92408(909) 891-0900 Get Directions Write a Review

NPPES record last updated: July 27, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ally Hospice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLY HOSPICE (NPI 1346764776) is a healthcare organization registered as a hospice care, community based in San Bernardino, California and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through March 6, 2027 and lists Marites Gonzales, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346764776
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameALLY HOSPICE CORPORATION
Location Address202 E AIRPORT DR STE 240San Bernardino, CA 92408-3440
Mailing Address9621 Springbrook CourtRancho Cucamonga, CA 91730 · (909) 644-7649
Phone(909) 891-0900
Organization SubpartNo
Authorized OfficialMarites GonzalesCeo · (909) 891-0900
Enumeration DateJuly 27, 2017
✔ NPI 1346764776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
202 E AIRPORT DR STE 240, San Bernardino, CA 92408
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Other Names 1

Doing Business AsAlly Hospice

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ally Hospice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 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.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20180906002264Part A · HospiceDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 05D2163100

Ally Hospice Corporation · San Bernardino, CA
Active · expires Mar 6, 2027
CLIA Number05D2163100
Laboratory TypeHospice
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorGimha Gunawardana
Laboratory Phone(909) 381-4400
Laboratory LocationAlly Hospice Corporation202 E Airport Drive, #240, San Bernardino, CA 92408
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Ally Hospice (CMS certification number B21664), from CMS Care Compare.

Ally Hospice

Hospice · San Bernardino, CA
OwnershipFor-Profit
CMS Certification NumberB21664
CMS RegionRegion 9
Medicare-Certified SinceAugust 24, 2021
Location202 E Airport Dr Suite 240San Bernardino, CA 92408 · San Bernardino County
Phone(909) 381-4400

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 Ally Hospice Corporation's NPI number?

The NPI number for Ally Hospice Corporation is 1346764776. It was assigned to this organization in the NPPES registry on July 27, 2017. The provider is doing business as Ally Hospice.

Where is Ally Hospice Corporation located?

Ally Hospice Corporation is located at 202 E Airport Dr Ste 240, San Bernardino, CA 92408. The listed phone number is (909) 891-0900.

What is Ally Hospice Corporation's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Is Ally Hospice Corporation enrolled in Medicare?

Yes. Ally Hospice Corporation is registered in the Medicare PECOS enrollment system.

When is Ally Hospice Corporation'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 January 31, 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.

Does Ally Hospice Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2163100) is associated with this NPI, valid through March 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Ally Hospice Corporation a Medicare-certified hospice?

Yes. Ally Hospice is a Medicare-certified hospice (CMS certification number B21664), certified since August 24, 2021.

When was this NPI record last updated?

The NPPES record for Ally Hospice Corporation was last updated on July 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.