Divine Mercy Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550000483 Issued in CA

Legal business name

DIVINE MERCY HOSPICE, INC

Practice address

5589 Brooks St
Unit B
Montclair, CA 91763-4519

Phone

(909) 986-6715

Fax

(909) 986-6793

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mercedithas Hipolito Liwanag, REGISTERED NURSE

Title

President/Ceo

Phone

(909) 986-6715

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1902003767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5589 BROOKS ST",
            "address_2": "UNIT B",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634519",
            "telephone_number": "909-986-6715",
            "fax_number": "909-986-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5589 BROOKS ST",
            "address_2": "UNIT B",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634519",
            "telephone_number": "909-986-6715",
            "fax_number": "909-986-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MERCY HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "LIWANAG",
        "authorized_official_first_name": "MERCEDITHAS",
        "authorized_official_middle_name": "HIPOLITO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "909-986-6715",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550000483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jiansan Ding, ACUPUNCTURIST (A.LC)
• Raleen Ann Dinger, MS
• Divine Angels Hospice
• Tracy DO
• Doctors' Hospital Medical Center of Montclair
• Doctors' Hospital Medical Center of Montclair
• Shericka Donnmonique Dollarhide
• Brianna Dominguez

• 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 Jun 4, 2010; 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.