Inter County Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

INTER COUNTY HOSPICE, INC.

Practice address

266 Mobil Ave Ste 106B
Camarillo, CA 93010-6371

Phone

(805) 384-4246

NPI assigned

Mar 13, 2018

Last updated

Mar 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eileen Martinez

Title

Administrator

Phone

(805) 484-0477

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1225531585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 MOBIL AVE STE 106B",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106371",
            "telephone_number": "805-384-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 MOBIL AVE STE 106B",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106371",
            "telephone_number": "805-384-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTER COUNTY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-484-0477"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damiano Impastato Jr.
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• Erica Ines, RBT
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• Inter County Health Services, Inc.
• Interface Children Family Service
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• Interim Homestyle Services, Inc.
• Internal Medicine & Pediatrics Private Practice, a Medical Corporation

• Community Based Hospice Care Agency in Camarillo, CA
• Providers in Camarillo, 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 13, 2018; 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.