Kairos Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

KAIROS HOSPICE INC

Practice address

161 W Arrow Hwy
Glendora, CA 91740-5963

Phone

(626) 422-8056

NPI assigned

Jan 12, 2013

Organization subpart

No

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

Authorized official

Name

Marian Miranda

Title

Owner

Phone

(310) 462-5025

Specialties & licenses 1

Addresses

Listed as

Kairos Hospice, IncorporationCCN 751598

Ownership

For-Profit

Certified

Jul 16, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1357948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1639416597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 W ARROW HWY",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405963",
            "telephone_number": "626-422-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W ARROW HWY",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405963",
            "telephone_number": "626-422-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-12",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-462-5025"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Glendora, CA
• Providers in Glendora, 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 Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.