Newport Hospice Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

NEWPORT HOSPICE CARE

Practice address

9849 Foothill Blvd Ste B
Rancho Cucamonga, CA 91730-3681

Phone

(909) 727-3223

NPI assigned

Mar 21, 2020

Last updated

Apr 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sean McKeever

Title

President

Phone

(909) 727-3223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033745062. Details of each certification follow.

• CCN A11758 Hospice · Active · Details

Hospice certification: CCN A11758

Legal name

NEWPORT HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 11, 2021

Last certification

Jun 11, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Feb 18, 2020 in CA

Enrollment address

9849 Foothill Blvd
Ste B
Rancho Cucamonga, CA 91730-3681

Listed as

Newport Hospice CareCCN A11758 · All quality measures

Ownership

For-Profit

Certified

Jun 11, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 1

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

• Daljinder Takhar, DO

  • Family Medicine Physician
  • Pomona, CA
  • NPI 1467562249

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712448000000",
    "number": "1033745062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9849 FOOTHILL BLVD STE B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9849 FOOTHILL BLVD STE B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303681",
            "telephone_number": "909-727-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-21",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "MCKEEVER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-727-3223"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Rancho Cucamonga, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.