Organization Active NPI

PH Care of California, Inc.

  • Community Based Hospice Care Agency
  • Phoenix, AZ
National Provider Identifier
1558629295
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Apr 15, 2013

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.