St. Elizabeth Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550002609 Issued in CA

Legal business name

ST. ELIZABETH HOSPICE CARE, INC.

Practice address

3829 E Sierra Madre Blvd
Pasadena, CA 91107-1948

Phone

(626) 510-6770

Fax

(626) 510-6773

NPI assigned

May 7, 2015

Organization subpart

No

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

Authorized official

Name

Eric Chol Chang

Title

Administrator

Phone

(626) 510-6770

Specialties & licenses 1

Addresses

Listed as

St Elizabeth Hospice Care, IncCCN 751770

Ownership

For-Profit

Certified

Jan 16, 2016

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1750769980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 E SIERRA MADRE BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071948",
            "telephone_number": "626-510-6770",
            "fax_number": "626-510-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 E SIERRA MADRE BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071948",
            "telephone_number": "626-510-6770",
            "fax_number": "626-510-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ELIZABETH HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "CHOL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-510-6770"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550002609",
            "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 Jun 20, 2023; 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.