Organization Active NPI

Waris Hospice, Inc

  • Community Based Hospice Care Agency
  • Commerce, CA
National Provider Identifier
1205421666
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
WARIS HOSPICE, INC
Practice address
6400 E Washington Blvd Ste 108C
Commerce, CA 90040-1820
Phone
(323) 325-2005
Fax
(877) 515-1617
NPI assigned
Mar 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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

Authorized official

Name
Mr. Syed Hassan Shah
Title
Administrator
Phone
(323) 325-2005

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Infusion Agency 251F00000X
Community Based Hospice Care Agency 251G00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

6400 E Washington Blvd Ste 108C
Commerce, CA 90040-1820

Mailing address

6400 E Washington Blvd Ste 108C
Commerce, CA 90040-1820
Phone (323) 325-2005

National Provider Directory

National Provider Directory

Locations

6400 E Washington Blvd
Ste 108C
Commerce, CA 90040
Phone (323) 325-2005

NPI Registry JSON

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

{
    "created_epoch": "1615075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615075200000",
    "number": "1205421666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 E WASHINGTON BLVD STE 108C",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401820",
            "telephone_number": "323-325-2005",
            "fax_number": "877-515-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 E WASHINGTON BLVD STE 108C",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401820",
            "telephone_number": "323-325-2005",
            "fax_number": "877-515-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARIS HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-07",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-325-2005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; 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.