Active NPI
Charter Hospice of the San Gabriel Valley LLC
- Community Based Hospice Care Agency
- Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CHARTER HOSPICE OF THE SAN GABRIEL VALLEY LLC
- Practice address
- 970 S. Village Oaks Drive
Suite 106
Covina, CA 91724-3626 - Phone
- (626) 331-8001
- Fax
- (626) 331-8311
- NPI assigned
- Feb 16, 2012
- Last updated
- May 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fred B Frank
- Title
- Vice President
- Phone
- (909) 825-2969
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
970 S. Village Oaks Drive
Suite 106
Covina, CA 91724-3626
Mailing address
970 S. Village Oaks Drive
Suite 106
Covina, CA 91724-3626
Phone (626) 331-8001
Care Compare: Hospice
Medicare Care Compare- Listed as
- Charter Hospice of the San Gabriel Valley, LLC
- Ownership
- For-Profit
- Certified
- Oct 17, 2013
- Medicare certification status
- Active
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 DirectoryLocations
970 S Village Oaks Dr
Ste 106
Covina, CA 91724
Phone (626) 331-8001
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Covina, CA
- NPI 1033835350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336694400000",
"number": "1912270257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 S. VILLAGE OAKS DRIVE",
"address_2": "SUITE 106",
"city": "COVINA",
"state": "CA",
"postal_code": "917243626",
"telephone_number": "626-331-8001",
"fax_number": "626-331-8311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 S. VILLAGE OAKS DRIVE",
"address_2": "SUITE 106",
"city": "COVINA",
"state": "CA",
"postal_code": "917243626",
"telephone_number": "626-331-8001",
"fax_number": "626-331-8311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARTER HOSPICE OF THE SAN GABRIEL VALLEY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-16",
"last_updated": "2012-05-11",
"status": "A",
"authorized_official_last_name": "FRANK",
"authorized_official_first_name": "FRED",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "909-825-2969"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.