Immaculate Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

IMMACULATE HOSPICE CARE INC

Practice address

550 Park St Ste 108
Alameda, CA 94501-6258

Phone

(510) 862-3508

NPI assigned

May 11, 2021

Organization subpart

No

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

Authorized official

Name

Eduardo R Mercado Jr.

Title

Ceo

Phone

(510) 862-3508

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1124602479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PARK ST STE 108",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016258",
            "telephone_number": "510-862-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PARK ST STE 108",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016258",
            "telephone_number": "510-862-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-862-3508",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minh Hoang Huynh
• Ricardo Ibanez-Canela
• Hector Ibarra
• Christina T Iglesia
• Clint Udell Imboden, M.S.
• Hannah Grace Ingebretsen
• Fatima Margarita Ingles
• Institute of Human Behavior, Research and Education
• Ip Healthcare Services LLC
• Charity Nikola Ireland

• Community Based Hospice Care Agency in Alameda, CA
• Providers in Alameda, 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 May 11, 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.