Ac Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550000460 Issued in CA

Legal business name

AC HOSPICE, INC.

Practice address

3870 Crenshaw Blvd Ste 209
Los Angeles, CA 90008-1815

Phone

(323) 329-9244

Fax

(323) 294-5102

NPI assigned

Nov 12, 2008

Last updated

Aug 31, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amelia Melsadia Campbell-Amponsem, RN, MS, BSN, PHN

Title

Administrator

Phone

(323) 329-9244

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1497909832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 CRENSHAW BLVD STE 209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081815",
            "telephone_number": "323-329-9244",
            "fax_number": "323-294-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 CRENSHAW BLVD STE 209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081815",
            "telephone_number": "323-329-9244",
            "fax_number": "323-294-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL-AMPONSEM",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "MELSADIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-329-9244",
        "authorized_official_credential": "RN, MS, BSN, PHN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550000460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC51579F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Aug 31, 2010; 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.