Active NPI
Crossroad Hospice Care,Inc.
- Community Based Hospice Care Agency
- Los Angeles, CA
National Provider Identifier
1629377502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2011
- 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
- Miss Lilibeth Sioson San Gabriel, REGISTERED NURSE
- Title
- Administrator
- Phone
- (818) 519-7036
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.