Organization Active NPI

Taybian Hospice Inc

  • Community Based Hospice Care Agency
  • Orange, CA
National Provider Identifier
1104434596
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TAYBIAN HOSPICE INC
Practice address
1940 W Orangewood Ave Ste 110
Orange, CA 92868-5042
Phone
(714) 451-7930
Fax
(714) 451-7934
NPI assigned
Jul 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Mr. Roger C Fabian
Title
Ceo/President
Phone
(714) 451-7930

Specialties & licenses 1

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

Addresses

Primary practice location

1940 W Orangewood Ave Ste 110
Orange, CA 92868-5042

Mailing address

1940 W Orangewood Ave Ste 110
Orange, CA 92868-5042
Phone (714) 451-7930

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2191950Taybian Hospice Inc1940 West Orangewood Avenue Suite 110, Orange, CA 92868Certificate of waiverSep 1, 2026

National Provider Directory

National Provider Directory

Locations

12630 Brookhurst St
Ste C
Garden Grove, CA 92840
Phone (714) 602-7709

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1104434596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 W ORANGEWOOD AVE STE 110",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685042",
            "telephone_number": "714-451-7930",
            "fax_number": "714-451-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 W ORANGEWOOD AVE STE 110",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685042",
            "telephone_number": "714-451-7930",
            "fax_number": "714-451-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYBIAN HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "FABIAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "714-451-7930",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.