National Provider Identifier Database

BLUEBERRY HILL HOSPICE LLC
Hospice Care, Community Based


Contact Information

BLUEBERRY HILL HOSPICE LLC
255 N D STREET
STE 200-XXVIII
SAN BERNARDINO, CA92401
Phone: 909-641-3016
Fax:
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for BLUEBERRY HILL HOSPICE LLC

NPI Number 1750955795
Legal business name
LBN
BLUEBERRY HILL HOSPICE LLC
Authorized official DANTE BAUTISTA - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/14/2021
Last updated 05/14/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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