WISTERIA HOSPICE, INC. (NPI# 1346544848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346544848 |
Entity Type | Organization |
Organization Name | WISTERIA HOSPICE, INC. |
Practice Address |
4182 N Viking Way Ste 216 Long Beach CA 90808-1491 |
Practice Telephone | 5624313308 |
Practice Fax Number | 5624319967 |
Mailing Telephone | 5626821678 |
Mailing Fax Number | 5624319967 |
Enumeration Date | 2010-12-27 |
Last Update Date | 2011-02-25 |
Authorized Official Name | MRS. JUDITH RAGO (PRESIDENT) |
Authorized Official Telephone | 5626821676 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251G00000X | Hospice Care, Community Based | Agencies | ||
Y | 251G00000X | Hospice Care, Community Based | CA | Agencies |
Street Address |
4182 N VIKING WAY STE 216 |
City | LONG BEACH |
State | CA |
Zip Code | 90808-1491 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275648958 | Mary Kathryn Vanvalkenburgh | Marriage & Family Therapist | 4182 N Viking Way, #205, Long Beach, CA 90808-1491 | 2006-08-20 |
1568913929 | Cassandra Rose Hutchinson | Counselor | 4182 N Viking Way, Suite #202, Long Beach, CA 90808-1491 | 2016-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629558713 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 | 2018-08-17 |
1376072710 | Premiere Cottages Inc. | Assisted Living Facility | 4815 Premiere Ave, Long Beach, CA 90808 | 2017-06-08 |
1760911184 | Collaborative Partners for Success, LLC | Speech-Language Pathologist | 3472 Tulane Avenue, Long Beach, CA 90808 | 2017-06-08 |
1942658604 | Susan S Orr | Physical Therapist | 3833 Worsham Ave #301, Long Beach, CA 90808 | 2016-06-02 |
1447611298 | Rac Brittany House | Alzheimer Center (Dementia Center) | 5641 Centralia Avenue, Long Beach, CA 90808 | 2016-03-08 |
1003234261 | Ray Ira Apter | Social Worker | 4333 N. Greenbrier Road, Long Beach, CA 90808 | 2014-04-03 |
1043590649 | Fonda Jiang | Allergy & Immunology | 3816 Woodruff Ave Ste 209, Long Beach, CA 90808 | 2011-08-26 |
1457640757 | Alexander Cristian Gavrila | Dentist | 4200 Lakewood Blvd, Long Beach, CA 90808 | 2011-04-07 |
1851629034 | Reyana Ewing | Dietitian, Registered | 4195 N Viking Way Ste D, Long Beach, CA 90808 | 2009-11-25 |
1548497597 | Veronika Lee Hoover | Social Worker | 4195 N. Viking Way, Suite F, Long Beach, CA 90808 | 2009-06-17 |
Find all providers in zip 90808 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215534557 | Homeserve Hospice Inc | Hospice Care, Community Based | 2777 Pacific Ave Ste J, Long Beach, CA 90806-2625 | 2020-10-08 |
1336746684 | Coastline Hospice Inc | Hospice Care, Community Based | 2777 Pacific Ave Ste L, Long Beach, CA 90806-2625 | 2020-10-08 |
1558968800 | Coast View Hospice Inc | Hospice Care, Community Based | 2777 Pacific Ave Ste J1, Long Beach, CA 90806-2625 | 2020-10-08 |
1225635576 | Proactive Hospice Inc | Hospice Care, Community Based | 2777 Pacific Ave Ste L1, Long Beach, CA 90806-2625 | 2020-10-08 |
1144833963 | Heralds Hospice Care | Hospice Care, Community Based | 3703 Long Beach Blvd Ste 404b, Long Beach, CA 90807-3329 | 2020-08-31 |
1487290672 | Tlc Palliative Care LLC | Hospice Care, Community Based | 2750 N Bellflower Blvd Ste 107, Long Beach, CA 90815-1143 | 2019-11-21 |
1558907055 | Grace Hospice Care, Inc. | Hospice Care, Community Based | 1739 Termino Avenue, Long Beach, CA 90804-2121 | 2019-11-20 |
1295114239 | Hark Hospice, Inc | Hospice Care, Community Based | 4182 N Viking Way Ste 206, Long Beach, CA 90808-1479 | 2015-05-22 |
1245599885 | Socal Hospice Providers, Inc. | Hospice Care, Community Based | 235 E Broadway Ste 411, Long Beach, CA 90802-7816 | 2012-05-15 |
1184873747 | The Faithful Incorporated | Hospice Care, Community Based | 5585 E Pacific Coast Hwy Unit 215, Long Beach, CA 90804-9478 | 2008-09-18 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 90808 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.