Living Waters Hospice California LLC
NPI 1275079980ActiveOrganization· Hospice Care, Community Based· Chino, CA
Hospice Care, Community Based in Chino, California, registered in NPPES in January 2017. The authorized official on file is Randy Denham, Vice President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275079980 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 19, 2017 |
| Last updated in NPPES | Jul 25, 2023 |
| Certified by provider | Jul 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospice Care, Community Based Primary | 251G00000X | 550001951 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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