Hospice Number 10 Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOSPICE NUMBER 10 INC

Practice address

260 S Glendora Ave Ste 206
West Covina, CA 91790-3041

Phone

(669) 300-0003

NPI assigned

Mar 24, 2021

Organization subpart

No

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

Authorized official

Name

Maria Gevorgyan

Title

Ceo

Phone

(669) 300-0003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51693

Legal name

HOSPICE NUMBER 10 INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 5, 2023

Last certification

May 5, 2023

Organization structure

CorporationProprietary

Incorporated

Mar 3, 2021 in CA

Enrollment address

7621 Industry Ave
Unit 2B
Pico Rivera, CA 90660-4301

Listed as

Hospice Number 10 IncCCN B51693

Certified

May 5, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Listed as

Hospice Number 12 IncCCN D61533

Certified

Aug 23, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1184201444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S GLENDORA AVE STE 206",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903041",
            "telephone_number": "669-300-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S GLENDORA AVE STE 206",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903041",
            "telephone_number": "669-300-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE NUMBER 10 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "669-300-0003"
    },
    "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 West Covina, CA
• Providers in West Covina, 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 Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.