Wisteria Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

WISTERIA HOSPICE, INC.

Practice address

4182 N Viking Way
Ste 216
Long Beach, CA 90808-1491

Phone

(562) 431-3308

Fax

(562) 431-9967

NPI assigned

Dec 27, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Judith Rago

Title

President

Phone

(562) 682-1676

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1346544848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4182 N VIKING WAY",
            "address_2": "STE 216",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081491",
            "telephone_number": "562-682-1678",
            "fax_number": "562-431-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4182 N VIKING WAY",
            "address_2": "STE 216",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081491",
            "telephone_number": "562-431-3308",
            "fax_number": "562-431-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISTERIA HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "RAGO",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-682-1676",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Feb 25, 2011; 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.