1. Home
  2. Directory
  3. California
  4. Torrance
  5. Hospice Care Community Based
  6. NPI Profile

PROVIDENCE TRINITYCARE HOSPICE
NPI 1245383165
Hospice Care, Community Based in Torrance, CA

Active since January 22, 2007CLIA 05D0885044 · Waiver
5315 TORRANCE BLVD., SUITE B-1, PROVIDENCE TRINITYCARE HOSPICE, TORRANCE, CA 90503(310) 543-3400(310) 316-2350 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2025, Mar 12, 2021 (2 updates tracked since 2021).

About Providence Trinitycare Hospice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE TRINITYCARE HOSPICE (NPI 1245383165) is a healthcare organization registered as a hospice care, community based in Torrance, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through April 13, 2028 and lists Donald W Anderson, Assistant Secretary For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1245383165
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NamePROVIDENCE TRINITYCARE HOSPICE
Location Address5315 TORRANCE BLVD., SUITE B-1, PROVIDENCE TRINITYCARE HOSPICETorrance, CA 90503-4011
Mailing Address5315 Torrance Blvd., Suite B-1, Providence Trinitycare HospiceTorrance, CA 90503-4011 · (310) 543-3400 · Fax (310) 316-2350
Phone(310) 543-3400
Fax(310) 316-2350
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary For Enrollment · (425) 358-9786
Enumeration DateJanuary 22, 2007
Last NPPES UpdateMay 16, 20252 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1245383165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in CA · 980000880
5315 TORRANCE BLVD., SUITE B-1, Torrance, CA 90503
Open in Google Maps ↗

Other Identifiers 1

MedicaidHPC01512FCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0885044

Providence Trinity Care Hospice · Torrance, CA
Active · expires Apr 13, 2028
CLIA Number05D0885044
Laboratory TypeHospice
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorGlen Komatsu
Laboratory Phone(310) 533-3400
Laboratory LocationProvidence Trinity Care Hospice5315 Torrance Blvd Ste B-1, Torrance, CA 90503
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Trinitycare Hospice's NPI number?

The NPI number for Providence Trinitycare Hospice is 1245383165. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Providence Trinitycare Hospice located?

Providence Trinitycare Hospice is located at 5315 Torrance Blvd., Suite B-1 Providence Trinitycare Hospice, Torrance, CA 90503. The listed phone number is (310) 543-3400.

What is Providence Trinitycare Hospice's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Providence Trinitycare Hospice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0885044) is associated with this NPI, valid through April 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Providence Trinitycare Hospice was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.