Socal Hospice Providers, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SOCAL HOSPICE PROVIDERS, INC.

Practice address

235 E Broadway Ste 411
Long Beach, CA 90802-7816

Phone

(562) 443-8475

Fax

(562) 394-0550

NPI assigned

May 15, 2012

Organization subpart

No

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

Authorized official

Name

Gaylord Rivera

Title

Ceo

Phone

(562) 443-8475

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1245599885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E BROADWAY STE 411",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908027816",
            "telephone_number": "562-443-8475",
            "fax_number": "562-394-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E BROADWAY STE 411",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908027816",
            "telephone_number": "562-443-8475",
            "fax_number": "562-394-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL HOSPICE PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "GAYLORD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-443-8475"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Sobel
• Serap Sobnosky, MD
• Jennifer Suzanne Sobrero
• Socal Driven LLC
• Socal Family Eye Care, Inc.
• Socal Kids Physical Therapy, Inc.
• Social Model Recovery
• Haley Sockerson
• Anne Sodano, M.S.
• Sotheavottey Soeung

• Community Based Hospice Care Agency in Long Beach, CA
• Providers in Long Beach, 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 May 15, 2012; 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.