Procare Hospice Services, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PROCARE HOSPICE SERVICES, INC.

Practice address

20832 Roscoe Blvd
Ste 214
Canoga Park, CA 91306-2057

Phone

(818) 885-6104

Fax

(818) 885-2659

NPI assigned

Nov 16, 2011

Organization subpart

No

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

Authorized official

Name

Naomi Sta.Maria

Title

Ceo

Phone

(818) 885-6104

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1386911576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20832 ROSCOE BLVD",
            "address_2": "STE 214",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913062057",
            "telephone_number": "818-885-6104",
            "fax_number": "818-885-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20832 ROSCOE BLVD",
            "address_2": "STE 214",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913062057",
            "telephone_number": "818-885-6104",
            "fax_number": "818-885-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE HOSPICE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "STA.MARIA",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-885-6104"
    },
    "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 Nov 16, 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.