Organization Active NPI

California Hospice and Nursing Services, Inc.

  • Community Based Hospice Care Agency
  • West Covina, CA
National Provider Identifier
1124428370
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CALIFORNIA HOSPICE AND NURSING SERVICES, INC.
Practice address
3218 E Holt Ave Ste 203
West Covina, CA 91791-2310
Phone
(323) 594-8060
Fax
(888) 586-1289
NPI assigned
Aug 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
David W Wallis
Title
President
Phone
(323) 594-8060

Specialties & licenses 1

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

Addresses

Primary practice location

3218 E Holt Ave Ste 203
West Covina, CA 91791-2310

Mailing address

3218 E Holt Ave Ste 203
West Covina, CA 91791-2310
Phone (323) 594-8060

Other practice location 1

4515 Eagle Rock Blvd Ste 146
Los Angeles, CA 90041-3396
Phone (323) 594-8060

Other practice location 2

4515 Eagle Rock Blvd Ste 146
Los Angeles, CA 90041-3396
Phone (323) 594-8060

National Provider Directory

National Provider Directory

Locations

4515 Eagle Rock Blvd
Ste 146
Los Angeles, CA 90041
Phone (323) 577-7860

3218 E Holt Ave
Unit 203
West Covina, CA 91791
Phone (323) 594-8060

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1124428370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 E HOLT AVE STE 203",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912310",
            "telephone_number": "323-594-8060",
            "fax_number": "888-586-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 E HOLT AVE STE 203",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912310",
            "telephone_number": "323-594-8060",
            "fax_number": "888-586-1289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4515 Eagle Rock Blvd Ste 146",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900413396",
            "country_code": "US",
            "telephone_number": "323-594-8060",
            "fax_number": "888-586-1289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4515 Eagle Rock Blvd Ste 146",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900413396",
            "country_code": "US",
            "telephone_number": "323-594-8060",
            "fax_number": "888-586-1289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALIFORNIA HOSPICE AND NURSING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "WALLIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-594-8060"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.