Organization Active NPI

Inter-Community Hospice, Inc.

  • Community Based Hospice Care Agency
  • Grover Beach, CA
National Provider Identifier
1508373408
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
INTER-COMMUNITY HOSPICE, INC.
Practice address
1445 W Grand Ave Ste I
Grover Beach, CA 93433-2285
Phone
(805) 668-2169
Fax
(805) 668-2171
NPI assigned
Jan 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Authorized official

Name
Mr. Francisco Joven Festejo
Title
Ceo/Cfo
Phone
(805) 668-2169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1445 W Grand Ave Ste I
Grover Beach, CA 93433-2285

Mailing address

1445 W Grand Ave Ste I
Grover Beach, CA 93433-2285
Phone (805) 668-2169

National Provider Directory

National Provider Directory

Locations

1445 W Grand Ave
Ste I
Grover Beach, CA 93433
Phone (805) 668-2169

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1508373408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 W GRAND AVE STE I",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332285",
            "telephone_number": "805-668-2169",
            "fax_number": "805-668-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 W GRAND AVE STE I",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934332285",
            "telephone_number": "805-668-2169",
            "fax_number": "805-668-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTER-COMMUNITY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "FESTEJO",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "JOVEN",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "805-668-2169",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grover Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.