Stat Hospice Care Corporation

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

STAT HOSPICE CARE CORPORATION

Practice address

1440 N Harbor Blvd Ste 100B
Fullerton, CA 92835-4114

Phone

(714) 380-6738

NPI assigned

Dec 16, 2020

Last updated

Dec 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jade Hanson

Title

Compliance Officier

Phone

(916) 934-4913

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1023604717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 100B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 100B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354114",
            "telephone_number": "714-380-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT HOSPICE CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "COMPLIANCE OFFICIER",
        "authorized_official_telephone_number": "916-934-4913"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgar Carmen Stambuk, MD
• Deionte Jamel Stancil
• Carmen Stanfield
• Maria Veronica Stapfer, MD
• Xiamara Starr
• Gina Steele
• Laura Steele, PSY.D.
• Stephanie Lynn Stefanelli, PSY. D
• Benjamin Stein
• Stela Dimitrova-Munro, D.D.S., Inc.

• Community Based Hospice Care Agency in Fullerton, CA
• Providers in Fullerton, 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 Dec 16, 2020; 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.