Hospice of the Angels, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOSPICE OF THE ANGELS, INC.

Practice address

4959 Palo Verde St
Ste 110B
Montclair, CA 91763-2350

Phone

(909) 624-3838

Fax

(909) 624-3844

NPI assigned

Jun 17, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca P Prudencio

Title

Administrator

Phone

(909) 624-3838

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1801181813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "STE 110B",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632350",
            "telephone_number": "909-624-3838",
            "fax_number": "909-624-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 PALO VERDE ST",
            "address_2": "STE 110B",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632350",
            "telephone_number": "909-624-3838",
            "fax_number": "909-624-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF THE ANGELS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "PRUDENCIO",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-624-3838",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gene S Hong, MD
• Jace Hong
• Tiffany Hooper
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• Hospice of Omega,Inc.
• Sandra Hover
• Carrie Howard
• Lavette Howard
• Frank J.Y. Hsu, MD
• Alexsandra Huerta

• Community Based Hospice Care Agency in Montclair, CA
• Providers in Montclair, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.