Divine Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550000234 Issued in CA

Legal business name

DIVINE HOSPICE CARE, INC.

Practice address

6131 Orangethorpe Ave
Suite 180
Buena Park, CA 90620-4911

Phone

(714) 523-5030

Fax

(714) 523-5060

NPI assigned

Jan 4, 2008

Organization subpart

No

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

Authorized official

Name

George C. Dela Cruz

Title

Chairman of the Board

Phone

(714) 523-5030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1659556942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 ORANGETHORPE AVE",
            "address_2": "SUITE 180",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204911",
            "telephone_number": "714-523-5030",
            "fax_number": "714-523-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 ORANGETHORPE AVE",
            "address_2": "SUITE 180",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204911",
            "telephone_number": "714-523-5030",
            "fax_number": "714-523-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "714-523-5030"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550000234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.