Organization Active NPI

Ace Hospice Inc

  • Community Based Hospice Care Agency
  • Los Angeles, CA
National Provider Identifier
1043394356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ACE HOSPICE INC
Practice address
628 N Vermont Ave
Unit 4
Los Angeles, CA 90004-2117
Phone
(323) 805-0175
Fax
(323) 668-2784
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sandra Margaret Kochoa, RN
Title
Director of Patient Care Services
Phone
(323) 805-0175

Specialties & licenses 1

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

Addresses

Primary practice location

628 N Vermont Ave
Unit 4
Los Angeles, CA 90004-2117

Mailing address

628 N Vermont Ave
Unit 4
Los Angeles, CA 90004-2117
Phone (323) 805-0175

Other identifiers 1

IdentifierTypeStateIssuer
HPC01790FMedicaidCA

National Provider Directory

National Provider Directory

Locations

628 N Vermont Ave
Ste 4
Los Angeles, CA 90004
Phone (323) 669-3640

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043394356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 N VERMONT AVE",
            "address_2": "UNIT 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900042117",
            "telephone_number": "323-805-0175",
            "fax_number": "323-668-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 N VERMONT AVE",
            "address_2": "UNIT 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900042117",
            "telephone_number": "323-805-0175",
            "fax_number": "323-668-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOCHOA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT CARE SERVICES",
        "authorized_official_telephone_number": "323-805-0175",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01790F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.