Active NPI
St. Martin Hospice Inc
- Community Based Hospice Care Agency
- Los Angeles, CA
National Provider Identifier
1578540233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ST. MARTIN HOSPICE INC
- Practice address
- 1925 W Temple St
Suite 210
Los Angeles, CA 90026-4972 - Phone
- (213) 413-4629
- Fax
- (213) 413-7971
- NPI assigned
- Dec 23, 2005
- Last updated
- Jun 30, 2011
- 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
- Ms. Shirley Baldovino Soriano
- Title
- Chief Executive Officer
- Phone
- (213) 413-4629
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1925 W Temple St
Suite 210
Los Angeles, CA 90026-4972
Mailing address
1925 W Temple St
Suite 210
Los Angeles, CA 90026-4972
Phone (213) 413-4629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HCP01754F | Medicaid | CA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1925 W Temple St
Ste 210
Los Angeles, CA 90026
Phone (213) 413-4629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309392000000",
"number": "1578540233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 W TEMPLE ST",
"address_2": "SUITE 210",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900264972",
"telephone_number": "213-413-4629",
"fax_number": "213-413-7971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 W TEMPLE ST",
"address_2": "SUITE 210",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900264972",
"telephone_number": "213-413-4629",
"fax_number": "213-413-7971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. MARTIN HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-23",
"last_updated": "2011-06-30",
"status": "A",
"authorized_official_last_name": "SORIANO",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "BALDOVINO",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "213-413-4629",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HCP01754F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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- St. Liz Hospice, Inc.
- St. Paul Center Alcohol and Drug Program
- St. Vincent Anesthesia Medical Group, Inc.
- St. Vincent Dialysis Center, Inc.
- St. Vincent Medical Center
- St. Vincent Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.