Glen-Ivy Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GLEN-IVY HOSPICE, INC.

Practice address

12440 Firestone Blvd Ste 3025-K
Norwalk, CA 90650-4328

Phone

(213) 263-9399

Fax

(323) 287-0040

NPI assigned

Apr 3, 2020

Organization subpart

No

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

Authorized official

Name

Wencylito Lavarez Alivia, RNNPI 1861173189

Title

President / Ceo

Phone

(626) 936-7650

Specialties & licenses 1

Addresses

Listed as

Glen-Ivy Hospice IncCCN B21743

Ownership

For-Profit

Certified

Dec 9, 2022

Locations

Practitioners 1

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

• Wencylito Alivia, REGISTERED NURSE

  • Adult Psychiatric/Mental Health Registered Nurse
  • Covina, CA
  • NPI 1861173189
  NPD Authorized official

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1497384226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12440 FIRESTONE BLVD STE 3025-K",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504328",
            "telephone_number": "213-263-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 FIRESTONE BLVD STE 3025-K",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504328",
            "telephone_number": "213-263-9399",
            "fax_number": "323-287-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN-IVY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "ALIVIA",
        "authorized_official_first_name": "WENCYLITO",
        "authorized_official_middle_name": "LAVAREZ",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "626-936-7650",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenna Rachelle Gilbert
• Jasleen Gill
• Martin Mario Ginger
• Gionis Emergency Medical Group, Inc
• Thomas A Gionis, M.D.
• Geoffrey David Glowalla, LMFT, MPA
• Valerie Godbout
• Ray Gokaldas, M.D.
• Golden Eagle Medical Network
• John Goldfarb, PHD

• Community Based Hospice Care Agency in Norwalk, CA
• Providers in Norwalk, 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 Mar 5, 2024; 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.