Organization Active NPI

Perpetual Succour Hospice

Doing business as PS Hospice Agency

  • Community Based Hospice Care Agency
  • Anaheim, CA
National Provider Identifier
1588338156
Registry record updated Aug 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PERPETUAL SUCCOUR HOSPICE
Doing business as
PS Hospice Agency
Practice address
520 N Brookhurst St Ste 123G
Anaheim, CA 92801-5233
Phone
(949) 482-4206
Fax
(949) 359-5259
NPI assigned
Aug 5, 2021
Last updated
Aug 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2021

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

Authorized official

Name
April Villa Tumakay
Title
Ceo
Phone
(949) 482-4206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

520 N Brookhurst St Ste 123G
Anaheim, CA 92801-5233

Mailing address

520 N Brookhurst St Ste 123G
Anaheim, CA 92801-5233
Phone (949) 482-4206

Other names 1

  • PS Hospice Agency Doing business as

National Provider Directory

National Provider Directory

Locations

520 N Brookhurst St
Ste 123G
Anaheim, CA 92801
Phone (949) 482-4206

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628899200000",
    "number": "1588338156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N BROOKHURST ST STE 123G",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015233",
            "telephone_number": "949-482-4206",
            "fax_number": "949-359-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N BROOKHURST ST STE 123G",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015233",
            "telephone_number": "949-482-4206",
            "fax_number": "949-359-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERPETUAL SUCCOUR HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A",
        "authorized_official_last_name": "TUMAKAY",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "VILLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-482-4206"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PS Hospice Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; 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.