Organization Active NPI

Life Care Hospice Corp.

  • Community Based Hospice Care Agency
  • Long Beach, CA
National Provider Identifier
1194940395
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
25G00000X Issued in CA
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

Updated by the provider on Jan 27, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.