Alexa Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ALEXA HOSPICE INC.

Practice address

14895 E 14TH St Ste 300
San Leandro, CA 94578-2927

Phone

(510) 877-0055

NPI assigned

Nov 4, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Michael Angel Campo Derla

Title

Ceo

Phone

(510) 877-0055

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1619511508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14895 E 14TH ST STE 300",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782927",
            "telephone_number": "510-877-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14895 E 14TH ST STE 300",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782927",
            "telephone_number": "510-877-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXA HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "DERLA",
        "authorized_official_first_name": "MICHAEL ANGEL",
        "authorized_official_middle_name": "CAMPO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-877-0055",
        "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": []
}

• Danielle Antoinette Aldredge
• Patrick James Aledo
• Denise Alejandre
• Madelaine S Alejandro
• Deja Alewine
• Alexyah Transportation LLC
• Natalie R Alfandary
• Mona Alfardi, MPH
• Kawthar Satar Ali
• Pir Arshid Ali

• Community Based Hospice Care Agency in San Leandro, CA
• Providers in San Leandro, 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 Nov 4, 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.