St. Liz Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

980001331 Issued in CA

Legal business name

ST. LIZ HOSPICE, INC.

Practice address

1910 W Sunset Blvd.
Suite 420
Los Angeles, CA 90026-3281

Phone

(213) 365-6499

Fax

(888) 415-5250

NPI assigned

Jan 3, 2006

Last updated

Jan 5, 2023By 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

Ricardo Moreno Yao, CERT. HOSPICE ADM.

Title

Ceo

Phone

(213) 365-6499

Specialties & licenses 1

Addresses

Other identifiers 1

Listed as

St Liz Hospice, IncCCN 051744

Ownership

For-Profit

Certified

May 18, 2001

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.

• Marlita Bates Castillo

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1700549185
  NPD

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1467430199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 W SUNSET BLVD.",
            "address_2": "SUITE 420",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263281",
            "telephone_number": "213-365-6499",
            "fax_number": "888-415-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 W SUNSET BLVD.",
            "address_2": "SUITE 420",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263281",
            "telephone_number": "213-365-6499",
            "fax_number": "888-415-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LIZ HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "YAO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "MORENO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-365-6499",
        "authorized_official_credential": "CERT. HOSPICE ADM."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "980001331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER #",
            "identifier": "HPC01744F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Jan 5, 2023; 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.