Liborah Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LIBORAH HOSPICE

Practice address

4800 Stockdale Hwy Ste 403
Bakersfield, CA 93309-2677

Phone

(559) 550-3342

Fax

(559) 421-1078

NPI assigned

Oct 22, 2020

Last updated

Sep 12, 2024By 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

Kristina Fajardo

Title

Owner Cfo Administrator

Phone

(661) 374-4626

Specialties & licenses 1

Addresses

Listed as

Liborah HospiceCCN B51699

Certified

May 8, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1588263289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 STOCKDALE HWY STE 403",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092677",
            "telephone_number": "559-550-3342",
            "fax_number": "559-421-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 STOCKDALE HWY STE 403",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092677",
            "telephone_number": "559-550-3342",
            "fax_number": "559-421-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBORAH HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER CFO ADMINISTRATOR",
        "authorized_official_telephone_number": "661-374-4626"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Bakersfield, CA
• Providers in Bakersfield, 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 Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.