Baldwin Park Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BALDWIN PARK HOSPICE INC

Practice address

14650 Pacific Ave
Baldwin Park, CA 91706-5333

Phone

(626) 655-8585

Fax

(626) 869-2238

NPI assigned

Feb 11, 2021

Last updated

Feb 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adeliza Ortega

Title

Cfo

Phone

(661) 373-6307

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1659964500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 PACIFIC AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065333",
            "telephone_number": "626-655-8585",
            "fax_number": "626-869-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 PACIFIC AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065333",
            "telephone_number": "626-655-8585",
            "fax_number": "626-869-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN PARK HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "ADELIZA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "661-373-6307"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626-655-8585",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "baldwinparkhospice@gmail.com",
            "affiliation": "N",
            "address_1": "14650 Pacific Ave",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917065333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Baldwin Park Family Dental
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• Baldwin Park Medical Center, Inc.
• Baldwin Park Medical Clinic Inc
• Baldwin Park Unified School District

• Community Based Hospice Care Agency in Baldwin Park, CA
• Providers in Baldwin Park, 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 Feb 16, 2021; 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.