Core Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CORE HOSPICE INC

Practice address

6505 Rosemead Blvd
Suite 105
Pico Rivera, CA 90660-3565

Phone

(562) 368-1341

Fax

(562) 268-1800

NPI assigned

Nov 24, 2014

Last updated

Nov 24, 2014By 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

Mr. Dave Villanueva Mayo, REGISTERED NURSE

Title

Administrator

Phone

(818) 800-4065

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1679970305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 ROSEMEAD BLVD",
            "address_2": "SUITE 105",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906603565",
            "telephone_number": "562-368-1341",
            "fax_number": "562-268-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 ROSEMEAD BLVD",
            "address_2": "SUITE 105",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906603565",
            "telephone_number": "562-368-1341",
            "fax_number": "562-268-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "VILLANUEVA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-800-4065",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "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 Nov 24, 2014; 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.