Active NPI
HCRG Healthcare Resource Group
- Community Based Hospice Care Agency
- Buena Park, CA
National Provider Identifier
1477160372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HCRG HEALTHCARE RESOURCE GROUP
- Practice address
- 6571 Altura Blvd
Buena Park, CA 90620-1019 - Phone
- (714) 228-9708
- NPI assigned
- Sep 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vijayantimala Summogum
- Title
- Owner
- Phone
- (310) 570-3755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
6571 Altura Blvd
Buena Park, CA 90620-1019
Mailing address
6571 Altura Blvd
Buena Park, CA 90620-1019
Phone (714) 228-9708
National Provider Directory
National Provider DirectoryLocations
6571 Altura Blvd
Buena Park, CA 90620
Phone (714) 228-9708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600992000000",
"number": "1477160372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6571 ALTURA BLVD",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906201019",
"telephone_number": "714-228-9708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6571 ALTURA BLVD",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906201019",
"telephone_number": "714-228-9708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HCRG HEALTHCARE RESOURCE GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-25",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A",
"authorized_official_last_name": "SUMMOGUM",
"authorized_official_first_name": "VIJAYANTIMALA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-570-3755"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.