Active NPI
Community Hospice of Victor Valley
- Community Based Hospice Care Agency
- Apple Valley, CA
National Provider Identifier
1720087299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HPC01708G | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Obstetrics & Gynecology Nurse Practitioner
- Apple Valley, CA
- NPI 1326059940
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.