Rivendell Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

RIVENDELL HOSPICE INC

Practice address

8150 Sierra College Blvd Ste 250
Roseville, CA 95661-9417

Phone

(916) 390-2171

Fax

(916) 515-8762

NPI assigned

Feb 16, 2021

Organization subpart

No

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

Authorized official

Name

Jason Pollock

Title

Administrator

Phone

(916) 390-2171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1437742947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 SIERRA COLLEGE BLVD STE 250",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956619417",
            "telephone_number": "916-390-2171",
            "fax_number": "916-515-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 SIERRA COLLEGE BLVD STE 250",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956619417",
            "telephone_number": "916-390-2171",
            "fax_number": "916-515-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVENDELL HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-390-2171"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid
• Brian Thomas Ritzler, FACT
• Angeline Rivas
• Gladis Elizabeth Rivas
• Monica Leanne Rivas, RRT, RCP I
• Alyssa Nicole Rivera
• Brianna Nicole Rivera
• Ernesto Serrano Rivera, MD
• Jesse Robert Rivera, DNP
• Tina Rivera

• Community Based Hospice Care Agency in Roseville, CA
• Providers in Roseville, 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 Feb 16, 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.