Careyes Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

551581 Issued in CA

Legal business name

CAREYES HOSPICE INC.

Practice address

1111 Grand Ave
Suite J
Diamond Bar, CA 91765-4171

Phone

(909) 396-6130

Fax

(909) 396-1817

NPI assigned

May 7, 2007

Last updated

Mar 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Edwina R. Cailipan

Title

President

Phone

(909) 396-6130

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1760695654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GRAND AVE",
            "address_2": "SUITE J",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654171",
            "telephone_number": "909-396-6130",
            "fax_number": "909-396-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GRAND AVE",
            "address_2": "SUITE J",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654171",
            "telephone_number": "909-396-6130",
            "fax_number": "909-396-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREYES HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "CAILIPAN",
        "authorized_official_first_name": "EDWINA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-396-6130",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "551581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "551581",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.