Supra Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SUPRA HOSPICE INC.

Practice address

14540 Ramona Blvd Ste 214
Baldwin Park, CA 91706-3386

Phone

(818) 925-4648

NPI assigned

Apr 26, 2021

Organization subpart

No

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

Authorized official

Name

Luisa Rojas

Title

Ceo

Phone

(818) 925-4648

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1952983207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 RAMONA BLVD STE 214",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063386",
            "telephone_number": "818-925-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 RAMONA BLVD STE 214",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063386",
            "telephone_number": "818-925-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPRA HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "LUISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-925-4648"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Suprahospice@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14540 Ramona Blvd Ste 213",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917063386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hao Sun, MD
• Yu Sun
• Debra Jo Sung, PT
• Chuck Suntalus, L.AC.
• Supra Home Health Agency Inc
• Lori Ann Switanowski, LMFT
• Sajjad Parvez Syed, MD
• Andrea Y Tam, OD
• Caren Tiffany Tam, PHARM.D.
• Matthew S. Tan, MD

• Community Based Hospice Care Agency in Baldwin Park, CA
• Providers in Baldwin Park, 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 Mar 7, 2022; 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.