PRESTIGE HOSPICE CARE, INC. (NPI# 1205970407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205970407 |
Entity Type | Organization |
Organization Name | PRESTIGE HOSPICE CARE, INC. |
Practice Address |
3356 W Ball Rd Suite 216 Anaheim CA 92804-3702 |
Practice Telephone | 7142299003 |
Practice Fax Number | 7142299009 |
Mailing Telephone | 7142299003 |
Mailing Fax Number | 7142299009 |
Enumeration Date | 2007-02-19 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. EDNA B TAMONDONG (ADMINISTRATOR DPCS) |
Authorized Official Telephone | 7142299003 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | Agencies |
Street Address |
3356 W BALL RD SUITE 216 |
City | ANAHEIM |
State | CA |
Zip Code | 92804-3702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922060086 | Omar Othman Fadeel | Internal Medicine | 3356 W Ball Rd, Suite# 100, Anaheim, CA 92804-3702 | 2006-04-04 |
1740534932 | Omar O. Fadeel, Md | Non-Pharmacy Dispensing Site | 3356 W Ball Rd, 100, Anaheim, CA 92804-3702 | 2012-11-09 |
1467741983 | David S Kramer Md A Professional Corporation | Internal Medicine | 3356 W Ball Rd, 206, Anaheim, CA 92804-3702 | 2011-04-05 |
1386933349 | Anaheim-buena Park Regional Dialysis Center | Clinic/Center | 3356 W Ball Rd, Suite 110, Anaheim, CA 92804-3702 | 2011-03-30 |
1407096720 | Paul J. Licata Md Inc. | Registered Nurse | 3356 W Ball Rd, Suite 206, Anaheim, CA 92804-3702 | 2009-02-26 |
1770758310 | Sheldon Fayner | Family Medicine | 3356 W Ball Rd, Ste 206, Anaheim, CA 92804-3702 | 2008-04-24 |
1306011150 | David S Kramer Md A Professional Corporation | Internal Medicine | 3356 W Ball Rd, Suite 206, Anaheim, CA 92804-3702 | 2008-04-23 |
1811181845 | Anthony Wong,d.d.s. | Clinic/Center | 3356 W Ball Rd, Ste.215, Anaheim, CA 92804-3702 | 2007-09-04 |
1013121292 | Flora Y Chen Dds, Inc | Dentist | 3356 W Ball Rd, Suite 118, Anaheim, CA 92804-3702 | 2007-05-09 |
1003948035 | Bakthan Savarirayan | Surgery | 3356 W Ball Rd, Suite 205, Anaheim, CA 92804-3702 | 2007-03-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
Find all providers in zip 92804 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063013720 | Blessed Journey Hospice, LLC. | Hospice Care, Community Based | 9778 Katella Ave Ste 111, Anaheim, CA 92804-6446 | 2020-11-07 |
1366043838 | Carewell Hospice | Hospice Care, Community Based | 780 N Euclid St Ste 204j, Anaheim, CA 92801-4145 | 2020-11-02 |
1497354039 | Life Touch Hospice | Hospice Care, Community Based | 9778 Katella Ave Ste 205, Anaheim, CA 92804-6447 | 2020-10-24 |
1700493053 | Healing Hands Hospice Care Inc. | Hospice Care, Community Based | 1775 E Lincoln Ave Ste 203, Anaheim, CA 92805-4324 | 2020-09-29 |
1770199564 | Orangeview Hospice Care Inc. | Hospice Care, Community Based | 1811 W Katella Ave Ste 111, Anaheim, CA 92804-6657 | 2020-09-17 |
1427669381 | Grateful Hearts Hospice | Hospice Care, Community Based | 9778 Katella Ave Ste 106, Anaheim, CA 92804-6446 | 2020-08-13 |
1316556988 | Care Companion Hospice, Inc. | Hospice Care, Community Based | 9778 Katella Ave Ste 217, Anaheim, CA 92804-6447 | 2020-07-29 |
1932717634 | Jade Hospice Inc. | Hospice Care, Community Based | 10568 Magnolia Ave Ste 110b, Anaheim, CA 92804-5864 | 2020-07-19 |
1043836281 | Aim Hospice Inc | Hospice Care, Community Based | 9778 Katella Ave Ste 202, Anaheim, CA 92804-6447 | 2020-06-23 |
1477178028 | Mountain Top Hospice Care, Inc. | Hospice Care, Community Based | 1811 W Katella Ave Ste 103, Anaheim, CA 92804-6672 | 2020-06-10 |
Find all providers in ANAHEIM |
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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.