Connecta Healthcare Services Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CONNECTA HEALTHCARE SERVICES INC

Doing business as

Matrix Care Hospice

Practice address

222 N Mountain Ave Ste 204
Upland, CA 91786-5714

Phone

(909) 256-3700

NPI assigned

Sep 30, 2020

Last updated

Oct 28, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

CONNECTA HEALTHCARE SERVICES INCAs reported in NPPES

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

Authorized official

Name

Beverly Choing, NP, RN

Title

Ceo/President

Phone

(909) 256-3700

Specialties & licenses 1

Addresses

Other names 1

• MATRIX CARE HOSPICE Doing business as

Listed as

Matrix Care HospiceCCN B51728

Certified

Sep 23, 2022

Part of

Connecta Healthcare Services Inc

Locations

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1316554512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N MOUNTAIN AVE STE 204",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N MOUNTAIN AVE STE 204",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865714",
            "telephone_number": "909-256-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTA HEALTHCARE SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONNECTA HEALTHCARE SERVICES INC",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "CHOING",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "909-256-3700",
        "authorized_official_credential": "NP, RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATRIX CARE HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Upland, CA
• Providers in Upland, 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 Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.