Theia Hospice and Palliative Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

THEIA HOSPICE AND PALLIATIVE CARE, INC.

Practice address

363 S Park Ave Ste 206
Pomona, CA 91766-1560

Phone

(909) 780-1150

Fax

(909) 780-1151

NPI assigned

Jun 2, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Shanelle Hurtado, RN

Title

Board Member

Phone

(626) 675-9557

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1043886708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 S PARK AVE STE 206",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661560",
            "telephone_number": "909-780-1150",
            "fax_number": "909-780-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 S PARK AVE STE 206",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661560",
            "telephone_number": "909-780-1150",
            "fax_number": "909-780-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEIA HOSPICE AND PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "HURTADO",
        "authorized_official_first_name": "SHANELLE",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "626-675-9557",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Institute of Trauma and Acute Care Inc
• The Neurology Group Inc
• The School of Arts and Enterprise
• The Wingwomen Inc.
• Pramod Theetha Kariyanna, M.D.
• Leslie Vanessa Theroith, NP
• Haiying Thien
• Pan Phyu Thin
• Cynthia Thoele, LCSW
• Maya Thomas-Benke

• Community Based Hospice Care Agency in Pomona, CA
• Providers in Pomona, 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 2, 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.