Quad Care Hospice Incorporated

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

QUAD CARE HOSPICE INCORPORATED

Practice address

512 E Wilson Ave Ste 209
Glendale, CA 91206-4820

Phone

(818) 805-4316

NPI assigned

May 1, 2020

Organization subpart

No

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

Authorized official

Name

Roger Soriano

Title

Administrator

Phone

(818) 805-4316

Specialties & licenses 1

Addresses

Electronic endpoints 1

Listed as

Quad Care Hospice IncorpCCN B41652

Certified

Feb 16, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1720609688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E WILSON AVE STE 209",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E WILSON AVE STE 209",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064820",
            "telephone_number": "818-805-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CARE HOSPICE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-805-4316"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "glendale",
            "affiliation": "N",
            "address_1": "512 E Wilson Ave Ste 209",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912064820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.