Active NPI
Life Care Hospice Corp.
- Community Based Hospice Care Agency
- Long Beach, CA
National Provider Identifier
1194940395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 25G00000X
- Legal business name
- LIFE CARE HOSPICE CORP.
- Practice address
- 5539 E Spring St
Long Beach, CA 90808-3736 - Phone
- (714) 222-7665
- NPI assigned
- Apr 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Divina D. Russell, RN
- Title
- DPCS/President
- Phone
- (323) 807-5196
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 25G00000X | CA | Primary |
Addresses
Primary practice location
5539 E Spring St
Long Beach, CA 90808-3736
Mailing address
5539 E Spring St.
Long Beach, CA 90808
Phone (714) 222-7665
National Provider Directory
National Provider DirectoryLocations
5539 E Spring St
Long Beach, CA 90808
Phone (562) 429-3249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233014400000",
"number": "1194940395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5539 E SPRING ST.",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90808",
"telephone_number": "714-222-7665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5539 E SPRING ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908083736",
"telephone_number": "714-222-7665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CARE HOSPICE CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-15",
"last_updated": "2009-01-27",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "DIVINA",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "DPCS/PRESIDENT",
"authorized_official_telephone_number": "323-807-5196",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "CA",
"license": "25G00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.