247 Hospice - San Diego

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

247 HOSPICE - SAN DIEGO

Practice address

3650 Clairemont Dr Ste 9
San Diego, CA 92117-5986

Phone

(619) 335-7360

Fax

(619) 335-7361

NPI assigned

Mar 12, 2013

Last updated

Mar 12, 2013By 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

Angelito Demeris Yao Roan

Title

Administrator

Phone

(619) 335-7360

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1427399740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16027 BROOKHURST ST STE I341",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 CLAIREMONT DR STE 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175986",
            "telephone_number": "619-335-7360",
            "fax_number": "619-335-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "247 HOSPICE - SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "ROAN",
        "authorized_official_first_name": "ANGELITO DEMERIS",
        "authorized_official_middle_name": "YAO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-335-7360"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in San Diego, CA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.