Moderne Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MODERNE HOSPICE CARE INC

Practice address

3130 Bonita Rd Ste 108
Chula Vista, CA 91910-3263

Phone

(619) 663-8912

NPI assigned

Apr 22, 2021

Last updated

Jun 14, 2021By 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

Michelle G. Vigilia, RN

Title

Co-Owner/Board Secretary

Phone

(562) 243-2061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1851973556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 BONITA RD STE 108",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103263",
            "telephone_number": "619-500-5313",
            "fax_number": "619-500-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 BONITA RD STE 108",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103263",
            "telephone_number": "619-663-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERNE HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "VIGILIA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CO-OWNER/BOARD SECRETARY",
        "authorized_official_telephone_number": "562-243-2061",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.