Parkside Healthcare LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PARKSIDE HEALTHCARE LLC

Practice address

2789 Rafferty Rd
Hemet, CA 92545-3630

Phone

(909) 576-8889

NPI assigned

Oct 23, 2013

Organization subpart

No

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

Authorized official

Name

Gina Castromayor, RN

Title

President

Phone

(714) 408-6522

Specialties & licenses 2

Addresses

Other names 1

• Parkside Homehealth & Hospice Other name

Locations

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1174951412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 N LAKE AVE STE 203",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011222",
            "telephone_number": "714-408-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2789 RAFFERTY RD",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925453630",
            "telephone_number": "909-576-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "CASTROMAYOR",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-408-6522",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Homehealth & Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monique Parker Jackson
• Chanel Parker
• Linda Joyce Parker, BA SOCIAL WORK
• Rachel Anne Parker, PA-C
• Willie Parker
• Parkside Mansion Assisted Living
• Justin Partovi
• Holly Dean Pascoe
• Patel Dental Corp, (Smile Shop)
• Aastha Ketan Patel, DO

• Community Based Hospice Care Agency in Hemet, CA
• Providers in Hemet, 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 Oct 23, 2013; 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.