Active NPI
Divine Infinity Hospice Inc.
- Community Based Hospice Care Agency
- Long Beach, CA
National Provider Identifier
1730849795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- DIVINE INFINITY HOSPICE INC.
- Practice address
- 3660 Atlantic Ave
Long Beach, CA 90807-3418 - Phone
- (562) 512-9933
- NPI assigned
- Dec 17, 2021
- 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
- Masoud Shojaei
- Title
- Ceo
- Phone
- (562) 512-9933
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
3660 Atlantic Ave
Long Beach, CA 90807-3418
Mailing address
6 Venture Ste 365
Irvine, CA 92618-7350
Phone (562) 512-9933
National Provider Directory
National Provider DirectoryLocations
6 Venture
Ste 365
Irvine, CA 92618
Phone (949) 621-3700
3660 Atlantic Ave
Long Beach, CA 90807
Phone (562) 512-9933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640044800000",
"number": "1730849795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 VENTURE STE 365",
"city": "IRVINE",
"state": "CA",
"postal_code": "926187350",
"telephone_number": "562-512-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073418",
"telephone_number": "562-512-9933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE INFINITY HOSPICE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-17",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A",
"authorized_official_last_name": "SHOJAEI",
"authorized_official_first_name": "MASOUD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "562-512-9933"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.