Organization Active NPI

American Hospice Care Inc

  • Community Based Hospice Care Agency
  • Bakersfield, CA
National Provider Identifier
1033467386
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AMERICAN HOSPICE CARE INC
Practice address
930 Oak St
Ste B
Bakersfield, CA 93304-1060
Phone
(661) 304-7542
NPI assigned
Aug 16, 2012
Last updated
Aug 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wesley Lum
Title
Administrator
Phone
(661) 304-7542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

930 Oak St
Ste B
Bakersfield, CA 93304-1060

Mailing address

930 Oak St
Ste B
Bakersfield, CA 93304-1060
Phone (661) 304-7542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140912000781 CA Part A Provider - Hospice 3577782135 Practice locations: Bakersfield, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033467386. Details of each certification follow.

Hospice certification: CCN 921764

Legal name
AMERICAN HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 14, 2018
Last certification
Apr 14, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 17, 2012 in CA
Enrollment address
930 Oak St
Suite B
Bakersfield, CA 93304-1060

Care Compare: Hospice

Medicare Care Compare
Listed as
American Hospice Care, IncCCN 921764 · All quality measures
Ownership
For-Profit
Certified
Apr 14, 2018
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

930 Oak St
Ste B
Bakersfield, CA 93304
Phone (661) 304-7542

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Wesley Lum Individual 5% Or Greater Direct Ownership Interest Apr 17, 2014 50%
Corporate Officer Apr 17, 2012 100%
Corporate Director Apr 17, 2014 100%
W-2 Managing Employee Apr 17, 2014 100%
Operational/Managerial Control Apr 17, 2014
Arnida Lum Individual 5% Or Greater Direct Ownership Interest Apr 17, 2012 50%
Corporate Officer Apr 17, 2012
Corporate Director Apr 17, 2012
W-2 Managing Employee Apr 17, 2012

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1033467386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 OAK ST",
            "address_2": "STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933041060",
            "telephone_number": "661-304-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 OAK ST",
            "address_2": "STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933041060",
            "telephone_number": "661-304-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-304-7542"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.