Passage Enterprises Incorporated

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

980001487 Issued in CA

Legal business name

PASSAGE ENTERPRISES INCORPORATED

Doing business as

Community Care Hospice

Practice address

222 W Foothill Blvd
Glendora, CA 91741-3356

Phone

(626) 335-9759

Fax

(626) 335-5040

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Damaris Fiona Santos, L.V.N.

Title

Office Manager

Phone

(626) 335-9759

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Care Hospice Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1326045709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W FOOTHILL BLVD",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413356",
            "telephone_number": "626-335-9759",
            "fax_number": "626-335-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W FOOTHILL BLVD",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413356",
            "telephone_number": "626-335-9759",
            "fax_number": "626-335-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAGE ENTERPRISES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_middle_name": "FIONA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-335-9759",
        "authorized_official_credential": "L.V.N."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "980001487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01762F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Arjun Patel, DO
• Minal D Patel, DDS
• Nilesh Navin Patel, MD
• Rajan Sunny Patel, PHARMD

• Community Based Hospice Care Agency in Glendora, CA
• Providers in Glendora, 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 22, 2012; 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.