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WATERGREEN MEDICAL SUPPLY INC
NPI 1467873646
Hospice, Inpatient in Corona, CA

Active since December 14, 2013
2875 DOUGLAS WAY, CORONA, CA 92882(714) 651-8059 Get Directions Write a Review

NPPES record last updated: December 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Watergreen Medical Supply Inc NPPES

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

WATERGREEN MEDICAL SUPPLY INC (NPI 1467873646) is a healthcare organization registered as a hospice, inpatient in Corona, California and active in the NPI registry since December 2013. The organization lists Ron Trejo, President, as its authorized official.

NPPES Registry Identity

NPI1467873646
Entity TypeOrganization
Primary Taxonomy315D00000X
Legal Business NameWATERGREEN MEDICAL SUPPLY INC
Location Address2875 DOUGLAS WAYCorona, CA 92882-6066
Mailing Address2875 Douglas WayCorona, CA 92882-6066 · (714) 651-8059
Phone(714) 651-8059
Organization SubpartNo
Authorized OfficialRon TrejoPresident · (714) 651-8059
Enumeration DateDecember 14, 2013
✔ NPI 1467873646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice, InpatientNursing & Custodial Care Facilities
Taxonomy Code315D00000X
Definition
A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.
2875 DOUGLAS WAY, Corona, CA 92882
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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 Watergreen Medical Supply Inc's NPI number?

The NPI number for Watergreen Medical Supply Inc is 1467873646. It was assigned to this organization in the NPPES registry on December 14, 2013.

Where is Watergreen Medical Supply Inc located?

Watergreen Medical Supply Inc is located at 2875 Douglas Way, Corona, CA 92882. The listed phone number is (714) 651-8059.

What is Watergreen Medical Supply Inc's specialty?

The primary specialty registered for this NPI is Hospice, Inpatient with taxonomy code 315D00000X.

When was this NPI record last updated?

The NPPES record for Watergreen Medical Supply Inc was last updated on December 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.