Acacia Hospice and Palliative Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ACACIA HOSPICE AND PALLIATIVE CARE, INC.

Practice address

222 N Mountain Ave
Suite 206
Upland, CA 91786-5714

Phone

(714) 457-3178

NPI assigned

Dec 6, 2014

Organization subpart

No

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

Authorized official

Name

Miss Charmaine Elaine Goco

Title

Ceo

Phone

(714) 457-3178

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1417824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417824000000",
    "number": "1366840480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N MOUNTAIN AVE",
            "address_2": "SUITE 206",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865714",
            "telephone_number": "714-457-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N MOUNTAIN AVE",
            "address_2": "SUITE 206",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865714",
            "telephone_number": "714-457-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA HOSPICE AND PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-06",
        "last_updated": "2014-12-06",
        "status": "A",
        "authorized_official_last_name": "GOCO",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-457-3178",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2014; 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.