Affective Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AFFECTIVE HOSPICE CARE, INC.

Practice address

5050 Palo Verde St
Suite 208
Montclair, CA 91763-2329

Phone

(909) 962-7488

Fax

(909) 962-7322

NPI assigned

Jul 22, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Justin Ivan Felipe

Title

Ceo/Owner

Phone

(909) 962-7488

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1548645302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 PALO VERDE ST",
            "address_2": "SUITE 208",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632329",
            "telephone_number": "909-962-7488",
            "fax_number": "909-962-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 PALO VERDE ST",
            "address_2": "SUITE 208",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632329",
            "telephone_number": "909-962-7488",
            "fax_number": "909-962-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFECTIVE HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "FELIPE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "909-962-7488",
        "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": []
}

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• All providers in Montclair, CA
• 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 22, 2015; 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.