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LOS ROBLES HOSPICE NPI 1538598131


NPI Information

NPI: 1538598131
Provider Name: LOS ROBLES HOSPICE

Doing Business As: LOS ROBLES HEALTHCARE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2167557

Address:
1720 E GARRY AVE
SUITE # 120
SANTA ANA, CA
ZIP 92705
Phone: (949) 252-2640
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LOS ROBLES HOSPICE is a hospice care community based in Santa Ana, CA. LOS ROBLES HOSPICE NPI is 1538598131. The provider is registered as an organization entity type.
The provider Is Doing Business As Los Robles Healthcare.

The provider's business location address is:

1720 E GARRY AVE
SUITE # 120
SANTA ANA, CA
ZIP 92705-805
Phone: (949) 252-2640
Fax: (801) 225-4067

The provider's authorized official is Cody Campbell .
The authorized official title is Managing Director and has the following contact phone number (415) 770-4094.

The CLIA number assigned to this NPI record is 05D2167557 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2013 and was last updated on 4/8/2022.


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 BasedYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14319341MEDICAIDCALIFORNIA

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: 5/5/2024

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.