A Spirit of Support Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

A SPIRIT OF SUPPORT INC

Doing business as

Mt Olive Hospice and Palliative Care

Practice address

425 W Bonita Ave Ste 209
San Dimas, CA 91773-2542

Phone

(909) 305-1007

Fax

(909) 305-1001

NPI assigned

Sep 28, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Sherwin Tanghal Canales

Title

Ceo

Phone

(909) 305-1007

Specialties & licenses 1

Addresses

Other names 1

• Mt Olive Hospice and Palliative Care Doing business as

Locations

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1578814638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W BONITA AVE STE 209",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732542",
            "telephone_number": "909-305-1007",
            "fax_number": "909-305-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W BONITA AVE STE 209",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732542",
            "telephone_number": "909-305-1007",
            "fax_number": "909-305-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SPIRIT OF SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "CANALES",
        "authorized_official_first_name": "SHERWIN",
        "authorized_official_middle_name": "TANGHAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-305-1007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Olive Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.