Active NPI
Healing Care Hospice, Inc.
- Community Based Hospice Care Agency
- Downey, CA
National Provider Identifier
1043578958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HEALING CARE HOSPICE, INC.
- Practice address
- 8255 Firestone Blvd
Suite 403
Downey, CA 90241-4800 - Phone
- (323) 988-1245
- Fax
- (323) 933-5706
- NPI assigned
- Apr 27, 2012
- Last updated
- Mar 9, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Shahrouz Golshani
- Title
- President
- Phone
- (323) 988-1245
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
8255 Firestone Blvd
Suite 403
Downey, CA 90241-4800
Mailing address
8255 Firestone Blvd
Suite 403
Downey, CA 90241-4800
Phone (323) 988-1245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130724000058 | CA | Part A Provider - Hospice | 7517108178 | Practice locations: Downey, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1043578958. Details of each certification follow.
Hospice certification: CCN 751514
- Legal name
- HEALING CARE HOSPICE, INC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Feb 25, 2014
- Last certification
- Jan 30, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Jan 17, 2012 in CA
- Enrollment address
- 8255 Firestone Blvd
Ste 403
Downey, CA 90241-4856
Care Compare: Hospice
Medicare Care Compare- Listed as
- Healing Care Hospice, Inc
- Ownership
- For-Profit
- Certified
- Feb 25, 2014
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2049489 | Healing Care Hospice, Inc. | Certificate of waiver | Nov 6, 2026 |
National Provider Directory
National Provider DirectoryLocations
1450 N Tustin Ave
Ste 112
Santa Ana, CA 92705
Phone (323) 988-1245
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Sanatkumar D Patel | 5% Or Greater Direct Ownership Interest | Mar 6, 2018 | 10% |
| Shahrouz Golshani | 5% Or Greater Direct Ownership Interest | Mar 6, 2018 | 90% |
| Corporate Officer | Mar 6, 2018 | 90% | |
| Corporate Director | Mar 6, 2018 | 90% | |
| Operational/Managerial Control | Mar 6, 2018 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Bellflower, CA
- NPI 1336155597
5% Or Greater Direct Ownership Interest
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Community Based Hospice Care Agency
- Lancaster, CA
- NPI 1013563923
Practitioners & affiliated clinicians
Affiliated clinicians 6
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": "1335484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489017600000",
"number": "1043578958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8255 FIRESTONE BLVD",
"address_2": "SUITE 403",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902414800",
"telephone_number": "323-988-1245",
"fax_number": "323-933-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8255 FIRESTONE BLVD",
"address_2": "SUITE 403",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902414800",
"telephone_number": "323-988-1245",
"fax_number": "323-933-5706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING CARE HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-27",
"last_updated": "2017-03-09",
"status": "A",
"authorized_official_last_name": "GOLSHANI",
"authorized_official_first_name": "SHAHROUZ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-988-1245",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.