INLAND VALLEY HOSPICE & PALLIATIVE CARE
NPI 1700461563
Hospice Care, Community Based in Diamond Bar, CA

Active since March 13, 2021CLIA 05D2267023 · Waiver
414 S PROSPECTORS RD STE C2, DIAMOND BAR, CA 91765(909) 225-2721 Get Directions Write a Review

NPPES record last updated: December 31, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 9, 2021, Apr 11, 2021, Mar 13, 2021 (3 updates tracked since 2021).

  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 05D2267023
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 08-18-2026

About INLAND VALLEY HOSPICE & PALLIATIVE CARE

This page provides the complete NPI Profile along with additional information for Inland Valley Hospice & Palliative Care, a provider established in Diamond Bar, California operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1700461563 assigned on March 2021. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Inland Valley Hospice & Palliative Care. The authorized official of this NPI record is Mr. Mohammed Arif Khan (Cfo)

NPI
1700461563 Verify this NPI
Provider Legal Name
SUSTAINABLE HEALTH INITIATIVE INC
Other Organization Name
INLAND VALLEY HOSPICE & PALLIATIVE CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
414 S PROSPECTORS RD STE C2 DIAMOND BAR, CA 91765
Location Phone
(909) 225-2721
Mailing Address
21809 PAINT BRUSH LN DIAMOND BAR, CA 91765
Mailing Phone
(909) 225-2721
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-13-2021
Last Update Date
12-31-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MOHAMMED ARIF KHAN

Authorized Official Title
CFO
Authorized Official Phone
(909) 225-2721

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2267023
Facility Type
Home Health Agency
Certificate Effective Date
August 19, 2024
Certificate Expiration Date
August 18, 2026
Laboratory Director
ABDUL R. KHAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Inland Valley Hospice & Palliative Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700461563, enumerated as an "organization" on March 13, 2021.

The provider is located at 414 S PROSPECTORS RD STE C2 DIAMOND BAR, CA 91765 and the phone number is (909) 225-2721.

Hospice Care, Community Based with taxonomy code 251G00000X.