Organization Active NPI

Bethesda Hospice, Inc

  • Community Based Hospice Care Agency
  • San Marino, CA
National Provider Identifier
1699301838
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BETHESDA HOSPICE, INC
Practice address
2304 Huntington Dr Ste 246
San Marino, CA 91108-2649
Phone
(626) 921-5485
NPI assigned
Mar 19, 2020
Last updated
Mar 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Authorized official

Name
Hana Chun
Title
President, Director of Nursing
Phone
(626) 921-5485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2304 Huntington Dr Ste 246
San Marino, CA 91108-2649

Mailing address

2304 Huntington Dr Ste 246
San Marino, CA 91108-2649

National Provider Directory

National Provider Directory

Locations

2304 Huntington Dr
Ste 246
San Marino, CA 91108
Phone (626) 921-5485

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1699301838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 HUNTINGTON DR STE 246",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 HUNTINGTON DR STE 246",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082649",
            "telephone_number": "626-921-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "HANA",
        "authorized_official_title_or_position": "PRESIDENT, DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "626-921-5485"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.