Crystal Light Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CRYSTAL LIGHT HOSPICE, INC.

Practice address

1817 W Avenue K Ste 201
Lancaster, CA 93534-6423

Phone

(818) 635-4249

NPI assigned

May 23, 2020

Organization subpart

No

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

Authorized official

Name

Gabriel Castillo

Title

Ceo

Phone

(661) 825-0205

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1154944205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 W AVENUE K STE 201",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935346423",
            "telephone_number": "661-825-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 W AVENUE K STE 201",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935346423",
            "telephone_number": "818-635-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL LIGHT HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-23",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-825-0205"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Lancaster, CA
• Providers in Lancaster, 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 Jun 6, 2023; 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.