Provider Demographics
NPI:1619377702
Name:DFT HEALTHCARE GROUP INC.
Entity Type:Organization
Organization Name:DFT HEALTHCARE GROUP INC.
Other - Org Name:GOLDBERG HOSPICE CARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:FONG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:951-816-0700
Mailing Address - Street 1:820 N MOUNTAIN AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4163
Mailing Address - Country:US
Mailing Address - Phone:909-887-9588
Mailing Address - Fax:909-887-0119
Practice Address - Street 1:820 N MOUNTAIN AVE STE 208
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4163
Practice Address - Country:US
Practice Address - Phone:909-887-9588
Practice Address - Fax:909-887-0119
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DFT HEALTHCARE GROUP INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-26
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based