Patient Care Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PATIENT CARE HOSPICE, INC.

Practice address

4959 Palo Verde St
206C-6
Montclair, CA 91763-2331

Phone

(909) 624-3818

Fax

(909) 398-4359

NPI assigned

Jan 1, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Moreno Probadora De la Rosa Jr.

Title

Pres/Ceo

Phone

(909) 624-3818

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199145600000",
    "number": "1467637165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "206C-6",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632331",
            "telephone_number": "909-624-3818",
            "fax_number": "909-398-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "206C-6",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632331",
            "telephone_number": "909-624-3818",
            "fax_number": "909-398-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-01",
        "last_updated": "2008-01-01",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA",
        "authorized_official_first_name": "MORENO",
        "authorized_official_middle_name": "PROBADORA",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "909-624-3818",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiandokht Partovi, M.D.
• Amiel R Patel, DDS
• Ashmi Patel, O.D
• Bhumi Kaushik Patel
• Rita Vishnu Patel, DDS
• Patients Choice Medical Group Inc
• Patla & Associates Children and Family Therapy Inc
• La Tanyia Denise Patterson
• Vinod Chandrashekhar Patwardhan, M.D
• Paula Izvernari DDS Inc (Montclair Plaza Dental Group)

• Community Based Hospice Care Agency in Montclair, CA
• Providers in Montclair, 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 1, 2008; 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.