Organization Active NPI

Companion Hospice, LLC

  • Community Based Hospice Care Agency
  • Riverside, CA
National Provider Identifier
1083664353
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMPANION HOSPICE, LLC
Practice address
4199 Flat Rock Dr.
Suite 200
Riverside, CA 92505-5861
Phone
(951) 371-4274
Fax
(951) 371-6995
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Ms. Debbie Plesich, RN
Title
Administrator
Phone
(714) 557-0883

Specialties & licenses 1

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

Addresses

Primary practice location

4199 Flat Rock Dr.
Suite 200
Riverside, CA 92505-5861

Mailing address

4199 Flat Rock Dr.
Suite 200
Riverside, CA 92505-5861
Phone (951) 371-4274

Other identifiers 1

IdentifierTypeStateIssuer
HPC01797FMedicaidCA

National Provider Directory

National Provider Directory

Locations

1241 Old Temescal Rd
Ste 103
Corona, CA 92881
Phone (714) 557-0883

4199 Flat Rock Dr
Ste 200
Riverside, CA 92505
Phone (323) 610-0258

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1083664353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 FLAT ROCK DR.",
            "address_2": "SUITE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925055861",
            "telephone_number": "951-371-4274",
            "fax_number": "951-371-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 FLAT ROCK DR.",
            "address_2": "SUITE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925055861",
            "telephone_number": "951-371-4274",
            "fax_number": "951-371-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANION HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "PLESICH",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-557-0883",
        "authorized_official_name_prefix": "Ms.",
        "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": "HPC01797F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.