Active NPI
Perpetual Succour Hospice
Doing business as PS Hospice Agency
- Community Based Hospice Care Agency
- Anaheim, CA
National Provider Identifier
1588338156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2021
- 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
- April Villa Tumakay
- Title
- Ceo
- Phone
- (949) 482-4206
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.