Elysian Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ELYSIAN HOSPICE, LLC

Practice address

2345 E 8TH St Ste 101a
National City, CA 91950-2800

Phone

(619) 887-2838

Fax

(619) 259-2582

NPI assigned

Apr 26, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Gemma Porsuelo

Title

Managing Member

Phone

(619) 887-2838

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398470400000",
    "number": "1902226186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E 8TH ST STE 101A",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502800",
            "telephone_number": "619-887-2838",
            "fax_number": "619-259-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E 8TH ST STE 101A",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502800",
            "telephone_number": "619-887-2838",
            "fax_number": "619-259-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIAN HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-26",
        "last_updated": "2014-04-26",
        "status": "A",
        "authorized_official_last_name": "PORSUELO",
        "authorized_official_first_name": "GEMMA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "619-887-2838",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in National City, CA
• Providers in National City, 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 Apr 26, 2014; 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.