Organization Active NPI

JW Healthcare Inc.

Doing business as Golden State Hospice Care

  • Community Based Hospice Care Agency
  • Tracy, CA
National Provider Identifier
1992256465
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
JW HEALTHCARE INC.
Doing business as
Golden State Hospice Care
Practice address
324 E 11TH St Ste H2
Tracy, CA 95376-4085
Phone
(209) 832-2224
NPI assigned
Oct 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Javed Wahab
Title
President
Phone
(209) 832-2224

Specialties & licenses 1

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

Addresses

Primary practice location

324 E 11TH St Ste H2
Tracy, CA 95376-4085

Mailing address

324 E 11TH St Ste H2
Tracy, CA 95376-4085
Phone (209) 832-2224

Other names 1

  • Golden State Hospice Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1992256465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E 11TH ST STE H2",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764085",
            "telephone_number": "209-832-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E 11TH ST STE H2",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764085",
            "telephone_number": "209-832-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JW HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "WAHAB",
        "authorized_official_first_name": "JAVED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-832-2224"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden State Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.