Active NPI
PH Care of California, Inc.
- Community Based Hospice Care Agency
- Phoenix, AZ
National Provider Identifier
1558629295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PH CARE OF CALIFORNIA, INC.
- Doing business as
- Premier Hospice and Palliative Care
- Practice address
- 4530 E Shea Blvd
Ste 165
Phoenix, AZ 85028-6065 - Phone
- (602) 274-7572
- Fax
- (602) 274-5465
- NPI assigned
- May 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Yolanda M Greene
- Title
- Coo
- Phone
- (602) 274-7572
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
4530 E Shea Blvd
Ste 165
Phoenix, AZ 85028-6065
Mailing address
655 N Central Ave
17TH Floor
Glendale, CA 91203-1422
Phone (818) 277-4749
Other names 1
- Premier Hospice and Palliative Care
National Provider Directory
National Provider DirectoryLocations
6345 Balboa Blvd
Ste 210
Encino, CA 91316
Phone (818) 342-9600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365984000000",
"number": "1558629295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 N CENTRAL AVE",
"address_2": "17TH FLOOR",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912031422",
"telephone_number": "818-277-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 E SHEA BLVD",
"address_2": "STE 165",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850286065",
"telephone_number": "602-274-7572",
"fax_number": "602-274-5465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PH CARE OF CALIFORNIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-01",
"last_updated": "2013-04-15",
"status": "A",
"authorized_official_last_name": "GREENE",
"authorized_official_first_name": "YOLANDA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "602-274-7572",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Hospice and Palliative Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.