NPIMap

Organization Active NPI

Hinds Hospice

  • Community/Behavioral Health Agency
  • Fresno, CA
National Provider Identifier
1477873115
Registry record updated Jun 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HINDS HOSPICE
Practice address
2490 W. Shaw
101
Fresno, CA 93711-3513
Phone
(559) 248-8579
Fax
(559) 320-0058
NPI assigned
Jun 4, 2010
Organization subpart
Yes
Parent organization
HINDS HOSPICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2023

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

Authorized official

Name
Catherine M Mitchell, MBA
Title
Director of Finance
Phone
(559) 248-8565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2490 W. Shaw
101
Fresno, CA 93711-3513

Mailing address

2490 W Shaw Ave Ste 101
Fresno, CA 93711-3063
Phone (559) 248-8579

Other identifiers 1

IdentifierTypeStateIssuer
212CUU1NMedicaidCA

Other names 1

  • Center for Grief and Healing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151218001096 CA Part B Supplier - Clinic/Group Practice 5193991685 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fresno, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Hinds Hospice3 organizations share this tax ID, including this one
Part of
Hinds Hospice

Other organizations with this tax ID 2

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

Locations

1616 W Shaw Ave
Ste C1
Fresno, CA 93711
Phone (559) 248-8591

410 W Main St
Ste A
Merced, CA 95340
Phone (209) 383-3123

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686960000000",
    "number": "1477873115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 W SHAW AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113063",
            "telephone_number": "559-248-8579",
            "fax_number": "559-320-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 W. SHAW",
            "address_2": "101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113513",
            "telephone_number": "559-248-8579",
            "fax_number": "559-320-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINDS HOSPICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HINDS HOSPICE",
        "enumeration_date": "2010-06-04",
        "last_updated": "2023-06-17",
        "certification_date": "2023-06-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "559-248-8565",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212CUU1N",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Grief and Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.