Innovative Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

INNOVATIVE HOSPICE CARE, INC.

Practice address

818 N Mountain Ave
Suite #107
Upland, CA 91786-4167

Phone

(909) 920-1210

Fax

(909) 920-1243

NPI assigned

Sep 4, 2013

Last updated

Sep 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Misak Chagayan

Title

Ceo

Phone

(909) 920-1210

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1568897940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N MOUNTAIN AVE",
            "address_2": "SUITE #107",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864167",
            "telephone_number": "909-920-1210",
            "fax_number": "909-920-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N MOUNTAIN AVE",
            "address_2": "SUITE #107",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864167",
            "telephone_number": "909-920-1210",
            "fax_number": "909-920-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "CHAGAYAN",
        "authorized_official_first_name": "MISAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-920-1210"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.