NPIMap

Organization Active NPI

Elixir Home Health Care & Hospice,Inc.

Doing business as Elixir Hospice Care

  • Community Based Hospice Care Agency
  • Lodi, CA
National Provider Identifier
1467837096
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ELIXIR HOME HEALTH CARE & HOSPICE,INC.
Doing business as
Elixir Hospice Care
Practice address
1420 W Kettleman LN
Suite S1
Lodi, CA 95242-4557
Phone
(209) 369-5110
Fax
(209) 396-5130
NPI assigned
Jul 24, 2015
Last updated
Jul 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Authorized official

Name
Javed Wahab
Title
President
Phone
(209) 369-5110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

1420 W Kettleman LN
Suite S1
Lodi, CA 95242-4557

Mailing address

1420 W Kettleman LN
Suite S1
Lodi, CA 95242-4557
Phone (209) 369-5110

Other names 1

  • Elixir Hospice Care Doing business as

Care Compare: Hospice

Medicare Care Compare
Listed as
Elixir Hospice CareCCN 921717
Ownership
For-Profit
Certified
Oct 28, 2017
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory
Tax ID family
Elixir Home Health Care Hospiceinc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1420 W Kettleman Ln
Ste S1
Lodi, CA 95242
Phone (209) 369-5110

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1467837096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W KETTLEMAN LN",
            "address_2": "SUITE S1",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424557",
            "telephone_number": "209-369-5110",
            "fax_number": "209-396-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W KETTLEMAN LN",
            "address_2": "SUITE S1",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424557",
            "telephone_number": "209-369-5110",
            "fax_number": "209-396-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIXIR HOME HEALTH CARE & HOSPICE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "WAHAB",
        "authorized_official_first_name": "JAVED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-369-5110"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elixir Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.