Organization Active NPI

Qualcare Hospice Inc

  • Community Based Hospice Care Agency
  • Montclair, CA
National Provider Identifier
1013162429
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
QUALCARE HOSPICE INC
Practice address
4959 Palo Verde St
Ste 106C
Montclair, CA 91763-2356
Phone
(909) 626-4242
Fax
(909) 626-4545
NPI assigned
Nov 26, 2008
Last updated
Oct 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Freda Joy Primicias
Title
President
Phone
(909) 626-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

4959 Palo Verde St
Ste 106C
Montclair, CA 91763-2356

Mailing address

4959 Palo Verde St
Ste 106C
Montclair, CA 91763-2356
Phone (909) 626-4242

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1013162429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "STE 106C",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632356",
            "telephone_number": "909-626-4242",
            "fax_number": "909-626-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "STE 106C",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632356",
            "telephone_number": "909-626-4242",
            "fax_number": "909-626-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALCARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "PRIMICIAS",
        "authorized_official_first_name": "FREDA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-626-4242",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.