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LIVING ANGELS HOSPICE CARE
NPI 1376160358
Hospice Care, Community Based in Upland, CA

Active since June 25, 2020CLIA 05D2204623 · Waiver
820 N MOUNTAIN AVE STE 105, UPLAND, CA 91786(909) 675-7055(877) 684-7043 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2024, Jun 25, 2020 (2 updates tracked since 2020).

About Living Angels Hospice Care NPPES

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

LIVING ANGELS HOSPICE CARE (NPI 1376160358) is a healthcare organization registered as a hospice care, community based in Upland, California and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through December 8, 2026 and lists Hermie Davis, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1376160358
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameLIVING ANGELS HOSPICE CARE
Location Address820 N MOUNTAIN AVE STE 105Upland, CA 91786-4163
Mailing Address820 N Mountain Ave Ste 105Upland, CA 91786-4163 · (909) 675-7055 · Fax (877) 684-7043
Phone(909) 675-7055
Fax(877) 684-7043
Organization SubpartNo
Authorized OfficialHermie DavisCeo/president · (909) 675-7055
Enumeration DateJune 25, 2020
Last NPPES UpdateApril 18, 20242 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1376160358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
820 N MOUNTAIN AVE STE 105, Upland, CA 91786
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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 05D2204623

Living Angels Hospice Care · Montclair, CA
Active · expires Dec 8, 2026
CLIA Number05D2204623
Laboratory TypeHospice
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorKarrar H. Ali
Laboratory Phone(909) 675-7055
Laboratory LocationLiving Angels Hospice Care4959 Palo Verde St Ste 208c-1, Montclair, CA 91763
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACE HOSPICE CARE INC
Hospice Care, Community Based
820 N MOUNTAIN AVE STE 105
UPLAND, CA 91786
San Bernardino County (909) 360-8135
HEALING HOPE COUNSELING SERVICES
Marriage & Family Therapist
820 N MOUNTAIN AVE STE 105
UPLAND, CA 91786
San Bernardino County (909) 660-3475
YULIANA NEMES
Marriage & Family Therapist
820 N MOUNTAIN AVE STE 105
UPLAND, CA 91786
San Bernardino County (909) 294-6574

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 Living Angels Hospice Care's NPI number?

The NPI number for Living Angels Hospice Care is 1376160358. It was assigned to this organization in the NPPES registry on June 25, 2020.

Where is Living Angels Hospice Care located?

Living Angels Hospice Care is located at 820 N Mountain Ave Ste 105, Upland, CA 91786. The listed phone number is (909) 675-7055.

What is Living Angels Hospice Care's specialty?

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

Does Living Angels Hospice Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2204623) is associated with this NPI, valid through December 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Living Angels Hospice Care was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.