Organization Active NPI

Community Hospice of Victor Valley

  • Community Based Hospice Care Agency
  • Apple Valley, CA
National Provider Identifier
1720087299
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMMUNITY HOSPICE OF VICTOR VALLEY
Practice address
16147 Kamana Rd
Apple Valley, CA 92307-1377
Phone
(760) 946-4730
Fax
(760) 242-0566
NPI assigned
Jul 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Marsha Fox
Title
President/Ceo
Phone
(909) 624-3574

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 080000721 CA
Community Based Hospice Care Agency 251G00000X CA Primary

Addresses

Primary practice location

16147 Kamana Rd
Apple Valley, CA 92307-1377

Mailing address

16147 Kamana Rd
Apple Valley, CA 92307-1377
Phone (760) 946-4730

Other identifiers 1

IdentifierTypeStateIssuer
HPC01708GMedicaidCA

National Provider Directory

National Provider Directory

Locations

16147 Kamana Rd
Apple Valley, CA 92307
Phone (760) 946-4730

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1720087299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16147 KAMANA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071377",
            "telephone_number": "760-946-4730",
            "fax_number": "760-242-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16147 KAMANA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071377",
            "telephone_number": "760-946-4730",
            "fax_number": "760-242-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPICE OF VICTOR VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "909-624-3574"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "080000721",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01708G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.