CCN: 751784 NPI: 1285068221 Organization

BLUE SKIES HOSPICE, LLC

570 N TOWNE AVE
POMONA, CA 917674826

Contact Information

Phone 6263387182
Fax 6263387609
Enumeration Date 2013-08-27
Last Updated 2018-07-19

Taxonomies

Code: 251G00000X
Code: 251G00000X (Primary) License State: CA License: 550002888

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

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providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 31084

providerType 35

specialPaymentIndicator

carrierCode 01182

localityCode 18

cbsaActualGeographicLocation 31084

providerType 35

specialPaymentIndicator

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localityCode 18

cbsaActualGeographicLocation 31084

providerType 35

specialPaymentIndicator

carrierCode 01182

localityCode 18