Emanate Health Hospice

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EMANATE HEALTH HOSPICE

Doing business as

Emanate Health Home Care

Practice address

820 N Phillips Ave
West Covina, CA 91791

Phone

(626) 859-2266

NPI assigned

Jul 14, 2006

Last updated

Jan 12, 2022By 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

Mrs. Sally De la O

Title

Assistant Director, Business Servic

Phone

(626) 732-3105

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Emanate Health Home Care Doing business as
• Citrus Valley Hospice, Inc Former legal business name

Locations

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1043236169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840146",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900840146",
            "telephone_number": "626-814-0333",
            "fax_number": "626-732-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N PHILLIPS AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91791",
            "telephone_number": "626-859-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMANATE HEALTH HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "DE LA O",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR, BUSINESS SERVIC",
        "authorized_official_telephone_number": "626-732-3105",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROV#",
            "identifier": "ZZZ22890Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07736F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emanate Health Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Citrus Valley Hospice, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michelle El-Hajjaoui, DO
• David Eldringhoff Jr., M.D.
• Elite Choice Health Services
• Elite Choice Home Health, Inc.
• Elite Health & Rehabilitation
• Emanate Health Hospice
• Emanate Health Medical Care Foundation
• Emanate Health Medical Center (Citrus Valley Medical Center Queen Of the Valley Campus)
• Emanate Health Medical Center (Emanate Health Medical Center Pharmacy)
• Emanate Health Medical Center (Emanate Health Queen of the Valley Hospital)

• Home Health Agency in West Covina, CA
• Providers in West Covina, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.