Procare Hospice Corp

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

070000580 Issued in CA

Legal business name

PROCARE HOSPICE CORP

Practice address

1700 Lombard St
2ND Floor
Oxnard, CA 93030-8211

Phone

(805) 983-4708

Fax

(805) 983-1578

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Roberta Teri Walski

Title

Ceo

Phone

(805) 604-1211

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ProCare Hospice Doing business as

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1851310874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 LOMBARD ST",
            "address_2": "2ND FLOOR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308211",
            "telephone_number": "805-983-4708",
            "fax_number": "805-983-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 LOMBARD ST",
            "address_2": "2ND FLOOR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308211",
            "telephone_number": "805-983-4708",
            "fax_number": "805-983-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE HOSPICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "WALSKI",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "TERI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-604-1211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "070000580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01710F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProCare Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camille Price
• Robert Marshall Price Jr., PHARM D
• Primary Critical Care Limited Partnership
• Brittney Simone Prince, M.S., CCC-SLP
• Raymond J. Prince, M.A.
• Heather Provencher
• Emilia Lizeth Prudente
• Psychological Services for Families
• Psychological Services for Families
• Kyle Pugh

• Community Based Hospice Care Agency in Oxnard, CA
• Providers in Oxnard, 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 Mar 10, 2011; 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.