OrganizationActive
Hospice Number 12 Inc
NPI 1104403393 · Community Based Hospice Care Agency · West Covina, CA
Provider details
- NPI number
- 1104403393
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Maria Gevorgyan, Ceo(669) 300-0003
Specialties & taxonomies
Agencies
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
260 S Glendora Ave Ste 208
West Covina, CA 91790-3041
Phone: (669) 300-0003
Street-level locationGet directions
Mailing address
260 S Glendora Ave Ste 208
West Covina, CA 91790-3041
Registry dates
- Enumerated
- 2021-03-25
- Last updated
- 2021-03-25
- Certified
- 2021-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.