Organization Active NPI

GSR Hospice Inc

  • Community Based Hospice Care Agency
  • Colton, CA
National Provider Identifier
1871047282
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GSR HOSPICE INC
Practice address
837 N la Cadena Dr Ste B
Colton, CA 92324-2747
Phone
(909) 963-0992
Fax
(909) 963-1335
NPI assigned
Aug 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Eliza Tokmadjian
Title
Ceo
Phone
(909) 963-0992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

837 N la Cadena Dr Ste B
Colton, CA 92324-2747

Mailing address

837 N la Cadena Dr Ste B
Colton, CA 92324-2747
Phone (909) 963-0992

Care Compare: Hospice

Medicare Care Compare
Listed as
GSR Hospice, IncCCN 921666
Ownership
For-Profit
Certified
Jul 28, 2017
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

837 N La Cadena Dr
Ste B
Colton, CA 92324
Phone (909) 963-0992

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1871047282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 N LA CADENA DR STE B",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242747",
            "telephone_number": "909-963-0992",
            "fax_number": "909-963-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 N LA CADENA DR STE B",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242747",
            "telephone_number": "909-963-0992",
            "fax_number": "909-963-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSR HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "TOKMADJIAN",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-963-0992"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.