Organization Active NPI

Qualicare Hospice, Inc.

  • Community Based Hospice Care Agency
  • Glendora, CA
National Provider Identifier
1750984811
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
QUALICARE HOSPICE, INC.
Practice address
502 W Route 66 Ste 24
Glendora, CA 91740-4379
Phone
(818) 433-4577
Fax
(818) 484-3707
NPI assigned
Nov 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Hamo Novshadyan
Title
Ceo
Phone
(818) 433-5477

Specialties & licenses 1

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

Addresses

Primary practice location

502 W Route 66 Ste 24
Glendora, CA 91740-4379

Mailing address

502 W Route 66 Ste 24
Glendora, CA 91740-4379
Phone (818) 433-4577

National Provider Directory

National Provider Directory

Locations

502 W Route 66
Ste 24
Glendora, CA 91740
Phone (818) 433-4577

924 E Green St
Ste 220B
Pasadena, CA 91106
Phone (626) 691-6025

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1750984811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W ROUTE 66 STE 24",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404379",
            "telephone_number": "818-433-4577",
            "fax_number": "818-484-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W ROUTE 66 STE 24",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404379",
            "telephone_number": "818-433-4577",
            "fax_number": "818-484-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALICARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "NOVSHADYAN",
        "authorized_official_first_name": "HAMO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-433-5477"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.