Elite Connect Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ELITE CONNECT HOSPICE CARE, INC.

Practice address

1801 Murchison Dr Ste 200
Burlingame, CA 94010-4518

Phone

(415) 728-1461

NPI assigned

Aug 24, 2021

Last updated

Sep 27, 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

Charles Van Sun Corpus

Title

Secretary

Phone

(415) 728-1461

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1457028961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 MURCHISON DR STE 200",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104518",
            "telephone_number": "415-728-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 MURCHISON DR STE 200",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104518",
            "telephone_number": "415-728-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CONNECT HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "CORPUS",
        "authorized_official_first_name": "CHARLES VAN",
        "authorized_official_middle_name": "SUN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "415-728-1461"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Eigenbrot, LCSW, MAC
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• Ahmed Elgendy
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• David Ellison, M.D.
• Melissa Ellison
• Robert Richard Elliston, M.D.
• Elizabeth Rose Elmschig, M.D., M.P.H
• Ralph Cameron Emmott, MD

• Community Based Hospice Care Agency in Burlingame, CA
• Providers in Burlingame, 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 Sep 27, 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.