Active NPI
Adda Hospice Providers, Inc.
- Community Based Hospice Care Agency
- Upland, CA
National Provider Identifier
1790119048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ADDA HOSPICE PROVIDERS, INC.
- Practice address
- 876 N Mountain Ave Ste 200F
Upland, CA 91786-4166 - Phone
- (909) 367-2561
- Fax
- (909) 367-2563
- NPI assigned
- Aug 22, 2013
- Last updated
- Aug 22, 2013
- 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
- Carlos D Katigbak
- Title
- Ceo
- Phone
- (909) 367-2561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
876 N Mountain Ave Ste 200F
Upland, CA 91786-4166
Mailing address
876 N Mountain Ave Ste 200F
Upland, CA 91786-4166
Phone (909) 367-2561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C3595378 | Other | CA | CORPORATION NUMBER |
National Provider Directory
National Provider DirectoryLocations
876 N Mountain Ave
Ste 200F
Upland, CA 91786
Phone (909) 367-2561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377129600000",
"number": "1790119048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "876 N MOUNTAIN AVE STE 200F",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864166",
"telephone_number": "909-367-2561",
"fax_number": "909-367-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "876 N MOUNTAIN AVE STE 200F",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864166",
"telephone_number": "909-367-2561",
"fax_number": "909-367-2563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADDA HOSPICE PROVIDERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-22",
"last_updated": "2013-08-22",
"status": "A",
"authorized_official_last_name": "KATIGBAK",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-367-2561"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPORATION NUMBER",
"identifier": "C3595378",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.