Immanuel Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

IMMANUEL HOSPICE, INC.

Practice address

482 W. Arrow Hwy
Suite G
San Dimas, CA 91773-2960

Phone

(909) 592-4834

Fax

(909) 592-1708

NPI assigned

May 20, 2009

Organization subpart

No

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

Authorized official

Name

Michael L. Folkes

Title

Administrator

Phone

(909) 592-4834

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1669607651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 W. ARROW HWY",
            "address_2": "SUITE G",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732960",
            "telephone_number": "909-592-4834",
            "fax_number": "909-592-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 W. ARROW HWY",
            "address_2": "SUITE G",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732960",
            "telephone_number": "909-592-4834",
            "fax_number": "909-592-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMANUEL HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "FOLKES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-592-4834"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Romero Hullings
• Karen April Hwang, M.S.P.T.
• George Ibrahim, D.M.D.
• Kingsley C Ijoma
• Shania C Ilagan
• Christopher Ingram
• Integrity Ssurgical Center Inc.
• Kellie-Anne Chiemi Ishii-Kim, OD
• Rosanna Wadie Iskander, M.D.
• Habib Ali Ismail, MD

• Community Based Hospice Care Agency in San Dimas, CA
• Providers in San Dimas, 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 May 20, 2009; 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.