Southern California Hospice Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SOUTHERN CALIFORNIA HOSPICE CARE

Practice address

32364 Kentucky St
Yucaipa, CA 92399-1825

Phone

(505) 659-1320

NPI assigned

Feb 16, 2021

Last updated

Feb 16, 2021By 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

Jennifer Rose Webb, RN

Title

Owner

Phone

(505) 659-1320

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1083207468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 RILEY RD",
            "city": "ESTANCIA",
            "state": "NM",
            "postal_code": "870167909",
            "telephone_number": "505-659-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32364 KENTUCKY ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923991825",
            "telephone_number": "505-659-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-659-1320",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@southerncaliforniahospicecare.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "agency email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "32364 Kentucky St",
            "city": "Yucaipa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923991825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Sorrent, LCSW
• Pamela Marie Soto
• South Coast Children's Society, Inc (Hope Healing Connection)
• South Coast Children's Society, Inc (South Coast Community Services)
• Southern California Emergency Medicine (Yucaipa Urgent Care Center)
• Dionne Southworth, M.A., ED. S.
• Jordan Keith Spady, DPT
• Doreen Spearman, PT
• John Sricharoon
• Katherine Jeanne Stafford, NP

• Community Based Hospice Care Agency in Yucaipa, CA
• Providers in Yucaipa, 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 16, 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.