OrganizationActiveAccepts Medicare
Advantage Hospice Providers Inc
NPI 1699109306 · Community Based Hospice Care Agency · Upland, CA
Enrolled with Medicare as Part a Provider - Hospice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1699109306
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tithkangna Farmer, Owner(909) 296-7903
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1934 W 9th St Unit B
Upland, CA 91786-5607
Phone: (909) 296-7903
Fax: (909) 543-0841
Street-level locationGet directions
Mailing address
1934 W 9th St Unit B
Upland, CA 91786-5607
Registry dates
- Enumerated
- 2013-08-29
- Last updated
- 2024-01-15
- Certified
- 2024-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.