CHARTER HOSPICE OF THE SAN GABRIEL VALLEY LLC (NPI# 1912270257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912270257 |
| Entity Type | Organization |
| Organization Name | CHARTER HOSPICE OF THE SAN GABRIEL VALLEY LLC |
| Practice Address |
970 S. Village Oaks Drive Suite 106 Covina CA 91724-3626 |
| Practice Telephone | 6263318001 |
| Practice Fax Number | 6263318311 |
| Mailing Telephone | 6263318001 |
| Mailing Fax Number | 6263318311 |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-05-11 |
| Authorized Official Name | FRED B FRANK (VICE PRESIDENT) |
| Authorized Official Telephone | 9098252969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
970 S. VILLAGE OAKS DRIVE SUITE 106 |
| City | COVINA |
| State | CA |
| Zip Code | 91724-3626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902320922 | Kimberly Suzanne Manzanares-mora | Rehabilitation Practitioner | 1359 North Grand Avenue, Covina, CA 91724 | 2017-08-01 |
| 1689194680 | Cynthia Garcia | Counselor | 1359 N. Grand Ave., Covina, CA 91724 | 2017-06-21 |
| 1386191963 | West Covina Group Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1274 Center Court Dr, #208, Covina, CA 91724 | 2016-09-01 |
| 1184094781 | Veronica May Roberts | Licensed Vocational Nurse | 222 S. Wilson Ave, Covina, CA 91724 | 2015-09-25 |
| 1912216292 | Joan Mendoza | Social Worker | 1338 Center Court Dr Ste 107, Covina, CA 91724 | 2010-10-04 |
| 1548583602 | Lille-anne Nzeribe | Rehabilitation Practitioner | 1126 N. Grand Ave. Suite D, Covina, CA 91724 | 2010-03-03 |
| 1154534212 | Verna L Lewis | Marriage & Family Therapist | 420 South Grand Ave., Covina, CA 91724 | 2007-05-07 |
| 1093937310 | Heather Annn Pedevillano | Specialist/Technologist | 1805 E. Lomira Dr, Covina, CA 91724 | 2007-05-03 |
| 1669503579 | Maritza Mercedes Reyes | Rehabilitation Practitioner | 1411 N. Grand Ave., Covina, CA 91724 | 2007-03-09 |
| 1417014085 | Bernadette Luyun Guaring Bagay | Dentist | 984 E Badillo St, Suite E, Covina, CA 91724 | 2007-01-03 |
| Find all providers in zip 91724 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699317388 | Saint Laura Palliative and Hospice Care Inc. | Hospice Care, Community Based | 271 E Workman St Ste 200, Covina, CA 91723-3549 | 2019-10-14 |
| 1679940415 | Sunshine Health Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 1171 W San Bernardino Rd, Ste D, Covina, CA 91722-4193 | 2015-08-27 |
| 1134558059 | Hospice Ministry, Inc. | Hospice Care, Community Based | 281 E Workman St, Suite 201, Covina, CA 91723-3565 | 2013-11-01 |
| 1912332297 | Eos Hospice and Palliative Care Inc. | Hospice Care, Community Based | 646 S Barranca Ave, Covina, CA 91723-3601 | 2013-09-05 |
| 1992138754 | Accord Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 534 E San Bernardino Rd, Covina, CA 91723-1731 | 2013-08-15 |
| 1508118944 | Comprehensive Care Hospice, Inc. | Hospice Care, Community Based | 271 E Workman St Ste 203, Covina, CA 91723-3549 | 2012-10-09 |
| 1801148564 | Priority Hospice Care Inc. | Hospice Care, Community Based | 410 W Badillo St Ste 200, Covina, CA 91723-1832 | 2012-10-05 |
| 1326270646 | American Empire Hospice Care, Inc., Covina | Hospice Care, Community Based | 930 N Grand Ave Ste A, Covina, CA 91724-2045 | 2009-08-20 |
| 1275677387 | Vitas Healthcare Corporation of California | Hospice Care, Community Based | 1343 N Grand Ave, Suite 100, Covina, CA 91724-4020 | 2007-02-20 |
| 1013064765 | Holy Family Hospice Care Inc | Hospice Care, Community Based | 310 E Rowland St, Covina, CA 91723-3151 | 2007-01-04 |
| Find all providers in COVINA | ||||
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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.