OrganizationActiveAccepts Medicare
Coventry Hospice
NPI 1164034104 · Community Based Hospice Care Agency · Montclair, CA
Enrolled with Medicare as Part a Provider - Hospice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1164034104
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kennedy Lamaria, President(909) 493-7758
Specialties & taxonomies
Agencies
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5050 Palo Verde St Ste 123
Montclair, CA 91763-2334
Phone: (909) 493-7758
Street-level locationGet directions
Mailing address
5050 Palo Verde St Ste 123
Montclair, CA 91763-2334
Registry dates
- Enumerated
- 2020-08-20
- Last updated
- 2020-08-20
- Certified
- 2020-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.