Divine Haven Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DIVINE HAVEN HOSPICE, INC.

Practice address

5122 Katella Ave Ste 310a
Los Alamitos, CA 90720-2826

Phone

(800) 903-1372

Fax

(800) 903-4614

NPI assigned

Jul 26, 2021

Organization subpart

No

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

Authorized official

Name

John Raymond Obligar

Title

Secretary

Phone

(800) 903-1372

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1013680271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 KATELLA AVE STE 310A",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202826",
            "telephone_number": "800-903-1372",
            "fax_number": "800-903-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 KATELLA AVE STE 310A",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202826",
            "telephone_number": "800-903-1372",
            "fax_number": "800-903-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HAVEN HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "OBLIGAR",
        "authorized_official_first_name": "JOHN RAYMOND",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "800-903-1372"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.