Suncrest Hospice Services, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SUNCREST HOSPICE SERVICES, INC.

Practice address

4959 Palo Verde St
Ste 206a-3
Montclair, CA 91763-2342

Phone

(909) 482-1100

Fax

(909) 482-1102

NPI assigned

May 21, 2013

Organization subpart

No

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

Authorized official

Name

Miss Estelita A De Leon, RN

Title

Administrator

Phone

(909) 482-1100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1710323449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "STE 206A-3",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632342",
            "telephone_number": "909-482-1100",
            "fax_number": "909-482-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "STE 206A-3",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632342",
            "telephone_number": "909-482-1100",
            "fax_number": "909-482-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCREST HOSPICE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "ESTELITA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-482-1100",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "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 May 21, 2013; 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.