Procare Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

980001391 Issued in CA

Legal business name

PROCARE HOSPICE, LLC

Practice address

520 E Broadway Ste 201
Glendale, CA 91205-4912

Phone

(818) 895-8000

Fax

(818) 894-6565

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Kerndl

Title

Cfo

Phone

(979) 704-6547

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ProCare Hospice Corp. Former legal business name

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1013937028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 CAROTHERS PKWY STE 550",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678002",
            "telephone_number": "979-704-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E BROADWAY STE 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054912",
            "telephone_number": "818-895-8000",
            "fax_number": "818-894-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "KERNDL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "979-704-6547",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "980001391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01755F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProCare Hospice Corp.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "ProCare Hospice Corp.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Prodent Care, Dental Practice of Tereza Hambarchian, DDS, Inc
• Professional Home Health Care, Inc.
• Progene Inc
• Progress Home Health Care Inc

• Community Based Hospice Care Agency in Glendale, CA
• Providers in Glendale, 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 Jun 21, 2024; 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.