Good Samaritan Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GOOD SAMARITAN HOSPICE LLC

Practice address

330 S Maple St
Unit J
Corona, CA 92880-6947

Phone

(951) 271-7900

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Carlos Picardo Valle, RN

Title

President

Phone

(951) 415-3311

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1497833313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S MAPLE ST UNIT J2",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928806947",
            "telephone_number": "951-271-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S MAPLE ST",
            "address_2": "UNIT J",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928806947",
            "telephone_number": "951-271-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "PICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-415-3311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nayeli Gonzalez
• Nichole Gonzalez
• Tiffany Gonzalez
• Yolanda Gonzalez, PPS
• Good Samaritan Community Health Center
• Michael Thomas Goode, OTR/L
• David Lee Gooding Jr., RBT
• Michael Paul Gordon, RCP-RRT
• Elyssa Noel Gorham
• Jillian Gottesman

• Community Based Hospice Care Agency in Corona, CA
• Providers in Corona, 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 Jul 16, 2007; 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.