Organization Active NPI

Imperial Hospice, Inc.

  • Community Based Hospice Care Agency
  • Pomona, CA
National Provider Identifier
1134556012
Registry record updated May 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
IMPERIAL HOSPICE, INC.
Practice address
363 S Park Ave Ste 105
Pomona, CA 91766
Phone
(909) 992-1914
Fax
(909) 992-1913
NPI assigned
Oct 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2019

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

Authorized official

Name
Ma Carmela Paez
Title
Hospice Coordinator
Phone
(818) 292-5364

Specialties & licenses 1

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

Addresses

Primary practice location

363 S Park Ave Ste 105
Pomona, CA 91766

Mailing address

363 S Park Ave Ste 105
Pomona, CA 91766-1560
Phone (909) 992-1914

Other practice location 1

273 W Alameda Ave
Burbank, CA 91502-2559
Phone (818) 672-1122

Other names 1

  • Devoted Healthcare, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

273 W Alameda Ave
Burbank, CA 91502
Phone (747) 240-6747

675 W Foothill Blvd
Ste 310
Claremont, CA 91711
Phone (909) 992-1914

363 S Park Ave
Ste 105
Pomona, CA 91766
Phone (909) 992-1914

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558137600000",
    "number": "1134556012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 S PARK AVE STE 105",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661560",
            "telephone_number": "909-992-1914",
            "fax_number": "909-992-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 S PARK AVE STE 105",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91766",
            "telephone_number": "909-992-1914",
            "fax_number": "909-992-1913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "273 W Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915022559",
            "country_code": "US",
            "telephone_number": "818-672-1122",
            "fax_number": "818-672-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMPERIAL HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2019-05-18",
        "status": "A",
        "authorized_official_last_name": "PAEZ",
        "authorized_official_first_name": "MA CARMELA",
        "authorized_official_title_or_position": "HOSPICE COORDINATOR",
        "authorized_official_telephone_number": "818-292-5364"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devoted Healthcare, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2019; 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.