Organization Active NPI

Extra Mile Hospice, Inc.

  • Community Based Hospice Care Agency
  • Orange, CA
National Provider Identifier
1891361242
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
EXTRA MILE HOSPICE, INC.
Practice address
3401 C W. Orangewood Ave.
Orange, CA 92868-9286
Phone
(714) 276-9431
Fax
(714) 276-9431
NPI assigned
May 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Ma. Teresa C. Misa
Title
President
Phone
(714) 515-0459

Specialties & licenses 1

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

Addresses

Primary practice location

3401 C W. Orangewood Ave.
Orange, CA 92868-9286

Mailing address

3401C W Orangewood Ave
Orange, CA 92868
Phone (714) 276-9431

National Provider Directory

National Provider Directory
Tax ID family
Extra Mile Hospice Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1891361242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401C W ORANGEWOOD AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-276-9431",
            "fax_number": "714-276-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 C W. ORANGEWOOD AVE.",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928689286",
            "telephone_number": "714-276-9431",
            "fax_number": "714-276-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRA MILE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "MISA",
        "authorized_official_first_name": "MA. TERESA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-515-0459"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.