Sacred One Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550000246 Issued in CA

Legal business name

SACRED ONE HOSPICE, INC.

Doing business as

Sacred Heart Hospice Inc

Practice address

3699 Wilshire Blvd
Suite 870
Los Angeles, CA 90010-2718

Phone

(213) 368-0254

Fax

(213) 368-0258

NPI assigned

Dec 17, 2012

Last updated

Feb 25, 2013By 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

Mr. Max Lopez, REGISTERED NURSE

Title

Administrator

Phone

(562) 841-0714

Specialties & licenses 1

Addresses

Other names 1

• Sacred Heart Hospice Inc Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ardientes C Tolentino, NURSE PRACTITIONER

  • Adult Medicine Physician
  • Anaheim, CA
  • NPI 1497257505
  NPD (past)

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1073859237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 WILSHIRE BLVD",
            "address_2": "SUITE 870",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102718",
            "telephone_number": "213-368-0254",
            "fax_number": "213-368-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 WILSHIRE BLVD",
            "address_2": "SUITE 870",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102718",
            "telephone_number": "213-368-0254",
            "fax_number": "213-368-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED ONE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-841-0714",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550000246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Heart Hospice Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arianne D Sacramento
• Wendell Sacramento
• Sacred Entrance Midwifery Services
• Sacred Fortune
• Sacred Heart Hospice, Inc.
• Avishai Sadan, DMD
• Saba Sadat Khansari, PA-C
• Mamatha R Sadda, M.D.
• Nariman Saddad
• Louis Alexander Saddic III, M.D. PH.D.

• Community Based Hospice Care Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Feb 25, 2013; 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.