Active NPI
United Com-Serve
- Community Based Hospice Care Agency
- Yuba City, CA
National Provider Identifier
1104885193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 230000211
- Legal business name
- UNITED COM-SERVE
- Practice address
- 939 Live Oak Blvd
Yuba City, CA 95991-4002 - Phone
- (530) 790-3006
- Fax
- (530) 751-4896
- NPI assigned
- Mar 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chris Parker
- Title
- VP Senior Living & Continued Care
- Phone
- (530) 790-3001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 230000211 | CA | Primary |
Addresses
Primary practice location
939 Live Oak Blvd
Yuba City, CA 95991-4002
Mailing address
939 Live Oak Blvd
Yuba City, CA 95991-4002
Phone (530) 790-3006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HPC01624F | Medicaid | CA |
Other names 1
- Fremont-Rideout Hospice
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298851200000",
"number": "1104885193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "939 LIVE OAK BLVD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959914002",
"telephone_number": "530-790-3006",
"fax_number": "530-751-4896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 LIVE OAK BLVD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959914002",
"telephone_number": "530-790-3006",
"fax_number": "530-751-4896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED COM-SERVE",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-20",
"last_updated": "2011-02-28",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "VP SENIOR LIVING & CONTINUED CARE",
"authorized_official_telephone_number": "530-790-3001",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "CA",
"license": "230000211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HPC01624F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fremont-Rideout Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.