Organization Active NPI

Safe Harbor Hospice Inc.

  • Community Based Hospice Care Agency
  • Fountain Valley, CA
National Provider Identifier
1376218016
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SAFE HARBOR HOSPICE INC.
Practice address
9550 Warner Ave Ste 250-14
Fountain Valley, CA 92708-2800
Phone
(657) 286-4560
NPI assigned
Aug 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Jade Hanson
Title
Compliance Officer
Phone
(714) 770-0152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

9550 Warner Ave Ste 250-14
Fountain Valley, CA 92708-2800

Mailing address

9550 Warner Ave Ste 250-14
Fountain Valley, CA 92708-2800
Phone (657) 286-4560

National Provider Directory

National Provider Directory

Locations

9550 Warner Ave
Ste 25014
Fountain Valley, CA 92708
Phone (657) 286-4560

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1376218016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 WARNER AVE STE 250-14",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082800",
            "telephone_number": "657-286-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 WARNER AVE STE 250-14",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082800",
            "telephone_number": "657-286-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "714-770-0152"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.