Organization Active NPI

Orchid Grove Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Fullerton, CA
National Provider Identifier
1093478471
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ORCHID GROVE HOSPICE AND PALLIATIVE CARE
Doing business as
Orchid Grove Hospice and Palliative Care
Practice address
1440 N Harbor Blvd Ste 225P
Fullerton, CA 92835-4127
Phone
(714) 770-0152
NPI assigned
Oct 21, 2021
Last updated
Oct 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Rafael Robles
Title
Compliance Officer
Phone
(714) 770-0152

Specialties & licenses 1

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

Addresses

Primary practice location

1440 N Harbor Blvd Ste 225P
Fullerton, CA 92835-4127

Mailing address

1440 N Harbor Blvd Ste 225P
Fullerton, CA 92835-4127
Phone (714) 770-0152

Other names 2

  • Orchid Grove Hospice and Palliative Care Doing business as
  • N/A Other name

National Provider Directory

National Provider Directory

Locations

1440 N Harbor Blvd
Ste 225P
Fullerton, CA 92835
Phone (714) 770-0152

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1093478471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 225P",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354127",
            "telephone_number": "714-770-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 225P",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354127",
            "telephone_number": "714-770-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHID GROVE HOSPICE AND PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "714-770-0152"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchid Grove Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.