Organization Active NPI

Crossroad Hospice Care,Inc.

  • Community Based Hospice Care Agency
  • Los Angeles, CA
National Provider Identifier
1629377502
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CROSSROAD HOSPICE CARE,INC.
Practice address
4515 Eagle Rock Blvd Ste 104
Los Angeles, CA 90041-3396
Phone
(818) 519-7036
NPI assigned
Mar 18, 2011
Last updated
Mar 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Miss Lilibeth Sioson San Gabriel, REGISTERED NURSE
Title
Administrator
Phone
(818) 519-7036

Specialties & licenses 1

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

Addresses

Primary practice location

4515 Eagle Rock Blvd Ste 104
Los Angeles, CA 90041-3396

Mailing address

4515 Eagle Rock Blvd Ste 104
Los Angeles, CA 90041-3396
Phone (818) 519-7036

National Provider Directory

National Provider Directory

Locations

4515 Eagle Rock Blvd
#147B
Los Angeles, CA 90041
Phone (323) 256-4000

4515 Eagle Rock Blvd
Ste 104
Los Angeles, CA 90041
Phone (818) 519-7036

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1629377502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 EAGLE ROCK BLVD STE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900413396",
            "telephone_number": "818-519-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 EAGLE ROCK BLVD STE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900413396",
            "telephone_number": "818-519-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROAD HOSPICE CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "SAN GABRIEL",
        "authorized_official_first_name": "LILIBETH",
        "authorized_official_middle_name": "SIOSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-519-7036",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.