NPIMap

Organization Active NPI

Angelica Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • Mesa, AZ
National Provider Identifier
1386128353
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ANGELICA HOSPICE AND PALLIATIVE CARE LLC
Practice address
1660 S Alma School Rd
Suite 217
Mesa, AZ 85210-3073
Phone
(602) 903-7154
Fax
(602) 892-9676
NPI assigned
Sep 17, 2018
Last updated
Sep 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
Anne Wairimu Kabata, NURSE
Title
Owner Operator
Phone
(909) 379-3446

Specialties & licenses 1

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

Addresses

Primary practice location

1660 S Alma School Rd
Suite 217
Mesa, AZ 85210-3073

Mailing address

1660 S Alma School Rd
Suite 217
Mesa, AZ 85210-3073
Phone (602) 903-7154

National Provider Directory

National Provider Directory

Locations

1660 S Alma School Rd
Ste 217
Mesa, AZ 85210
Phone (602) 903-7154

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1386128353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 S ALMA SCHOOL RD",
            "address_2": "SUITE 217",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103073",
            "telephone_number": "602-903-7154",
            "fax_number": "602-892-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S ALMA SCHOOL RD",
            "address_2": "SUITE 217",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103073",
            "telephone_number": "602-903-7154",
            "fax_number": "602-892-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELICA HOSPICE AND PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "KABATA",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "WAIRIMU",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "909-379-3446",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.