Genesis Health Services,Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GENESIS HEALTH SERVICES,INC.

Doing business as

Fountain Hospice

Practice address

2542 W 3Rd St
Suite B
Los Angeles, CA 90057-1929

Phone

(213) 382-8761

Fax

(213) 382-8923

NPI assigned

Jul 29, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Theresa Ordonez Queja, RN

Title

Ceo/President

Phone

(213) 382-8761

Specialties & licenses 1

Addresses

Other names 1

• Fountain Hospice Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cristine Armero Nuguid-Yem, LVN

  • Licensed Vocational Nurse
  • Buena Park, CA
  • NPI 1922385988
  NPD

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1710118443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 W 3RD ST",
            "address_2": "SUITE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571929",
            "telephone_number": "213-382-8761",
            "fax_number": "213-382-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 W 3RD ST",
            "address_2": "SUITE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571929",
            "telephone_number": "213-382-8761",
            "fax_number": "213-382-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "QUEJA",
        "authorized_official_first_name": "MARIA THERESA",
        "authorized_official_middle_name": "ORDONEZ",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "213-382-8761",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Generations Healthcare Agency, Inc.
• Genesis
• Genesis Ambulatory Surgical Center
• Genesis Anesthesia Services Inc
• Genesis Health Services
• Genesis Healthcare Products of Los Angeles County Inc.
• Genesis Psychology Group, Inc.
• Genesis Rehabilitation Center, LLC
• Geneva Medical Group, Inc.
• Jiaxin Geng

• Community Based Hospice Care Agency in Los Angeles, CA
• Providers in Los Angeles, 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 Jan 28, 2011; 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.