Summer Breeze Hospice and Palliative Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SUMMER BREEZE HOSPICE AND PALLIATIVE CARE, INC.

Practice address

609 W Beverly Blvd
Suite a
Montebello, CA 90640-3623

Phone

(323) 483-5078

Fax

(323) 978-1632

NPI assigned

May 19, 2014

Last updated

Aug 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wellington Carlos Jr.

Title

President / Ceo

Phone

(213) 494-8761

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Listed as

Summer Breeze Hospice and Palliative Care, IncCCN 921712

Ownership

For-Profit

Certified

Aug 14, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shaheen Iqbal, M.D.

  • Internal Medicine Physician
  • La Palma, CA
  • NPI 1366514499
  NPD (past)

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628294400000",
    "number": "1396156832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W BEVERLY BLVD",
            "address_2": "SUITE A",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403623",
            "telephone_number": "323-483-5078",
            "fax_number": "323-978-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W BEVERLY BLVD",
            "address_2": "SUITE A",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403623",
            "telephone_number": "323-483-5078",
            "fax_number": "323-978-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER BREEZE HOSPICE AND PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2021-08-07",
        "certification_date": "2021-08-07",
        "status": "A",
        "authorized_official_last_name": "CARLOS",
        "authorized_official_first_name": "WELLINGTON",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "213-494-8761",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396156832",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tess.bonifacio12@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "609 W Beverly Blvd",
            "address_2": "Suite A",
            "city": "Montebello",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906403623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community Based Hospice Care Agency in Montebello, CA
• Providers in Montebello, 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 Aug 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.