Cal Hospice Care Facility

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CAL HOSPICE CARE FACILITY

Practice address

295 W Main St Unit C
San Jacinto, CA 92583-4122

Phone

(951) 290-8081

Fax

(951) 602-8005

NPI assigned

Aug 30, 2021

Organization subpart

No

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

Authorized official

Name

Sharareh Simhael

Title

Ceo

Phone

(951) 290-8081

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1104594811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 W MAIN ST UNIT C",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834122",
            "telephone_number": "951-290-8081",
            "fax_number": "951-602-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 W MAIN ST UNIT C",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834122",
            "telephone_number": "951-290-8081",
            "fax_number": "951-602-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAL HOSPICE CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "SIMHAEL",
        "authorized_official_first_name": "SHARAREH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-290-8081"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Wanden Brooks Jr.
• Stephanie Bruce, PH.D
• David Lawrence Brunken, ATC
• Java Lynn Buchanan, RRW
• Theresa Elizabeth Bullard, C A S II
• Dessire Calderon, B.A.
• Veronica Patricia Calderon
• Gloria Stephanie Campos
• Christina Campuzano
• Jessica Cardenas

• Community Based Hospice Care Agency in San Jacinto, CA
• Providers in San Jacinto, 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 Aug 30, 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.