Organization Active NPI

Marymonte Hospice

  • Community Based Hospice Care Agency
  • Irvine, CA
National Provider Identifier
1548841695
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MARYMONTE HOSPICE
Practice address
2102 Business Center Dr Ste 292
Irvine, CA 92612-1001
Phone
(949) 247-7518
Fax
(949) 430-7824
NPI assigned
Apr 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Prithvi Aiyaswamy
Title
Ceo
Phone
(408) 802-5798

Specialties & licenses 1

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

Addresses

Primary practice location

2102 Business Center Dr Ste 292
Irvine, CA 92612-1001

Mailing address

2102 Business Center Dr Ste 292
Irvine, CA 92612-1001
Phone (949) 247-7518

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1548841695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 BUSINESS CENTER DR STE 292",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121001",
            "telephone_number": "949-247-7518",
            "fax_number": "949-430-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 BUSINESS CENTER DR STE 292",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121001",
            "telephone_number": "949-247-7518",
            "fax_number": "949-430-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYMONTE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "AIYASWAMY",
        "authorized_official_first_name": "PRITHVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-802-5798"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.