Organization Active NPI

Mount Carmel Hospice, Inc.

  • Community Based Hospice Care Agency
  • Montclair, CA
National Provider Identifier
1235716689
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MOUNT CARMEL HOSPICE, INC.
Practice address
4959 Palo Verde St # 202B-3
Montclair, CA 91763-2331
Phone
(951) 226-1380
Fax
(951) 267-6239
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Jesus Osilla
Title
Ceo
Phone
(951) 226-1380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4959 Palo Verde St # 202B-3
Montclair, CA 91763-2331

Mailing address

4959 Palo Verde St # 202B-3
Montclair, CA 91763-2331
Phone (951) 226-1380

National Provider Directory

National Provider Directory

Locations

4959 Palo Verde St
Ste 202B-3
Montclair, CA 91763
Phone (951) 226-1380

NPI Registry JSON

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": "1235716689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST # 202B-3",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632331",
            "telephone_number": "951-226-1380",
            "fax_number": "951-267-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST # 202B-3",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632331",
            "telephone_number": "951-226-1380",
            "fax_number": "951-267-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT CARMEL HOSPICE, 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": "OSILLA",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-226-1380"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.