Blue Wave Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BLUE WAVE HOSPICE INC.

Practice address

2323 W Lincoln Ave # 207a
Anaheim, CA 92801-5100

Phone

(714) 713-6140

Fax

(714) 948-8914

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

Mark Mesias

Title

Ceo

Phone

(714) 713-6140

Specialties & licenses 1

Addresses

Listed as

Blue Wave Hospice, Inc.CCN B31525

Certified

Dec 21, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686355200000",
    "number": "1144834722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 W LINCOLN AVE STE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015103",
            "telephone_number": "714-713-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 W LINCOLN AVE # 207A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015100",
            "telephone_number": "714-713-6140",
            "fax_number": "714-948-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WAVE HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2023-06-10",
        "certification_date": "2023-06-10",
        "status": "A",
        "authorized_official_last_name": "MESIAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-713-6140"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Anaheim, CA
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.