WISTERIA HOSPICE INC. NPI 1346544848

NPI Information

  • NPI: 1346544848
  • Provider Name: WISTERIA HOSPICE, INC.
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • CLIA Number: 05D2025580
  • Address: 4182 N VIKING WAY
    STE 216
    LONG BEACH, CA
    ZIP 90808
  • Phone: (562) 431-3308

Map and Directions

Get Directions

NPI Details

WISTERIA HOSPICE, INC. is a hospice care community based in Long Beach, CA. WISTERIA HOSPICE, INC. NPI is 1346544848. The provider is registered as an organization entity type.

The provider's business location address is:

4182 N VIKING WAY
STE 216
LONG BEACH, CA
ZIP 90808-491
Phone: (562) 431-3308
Fax: (562) 431-9967

The provider's authorized official is Judith Rago .
The authorized official title is President and has the following contact phone number (562) 682-1676.

The CLIA number assigned to this NPI record is 05D2025580 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2010 and was last updated on 2/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community BasedNo
2251G00000XHospice Care, Community BasedCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI