Organization Active NPI

Anthem Hospice Care Inc

  • Community Based Hospice Care Agency
  • Woodland Hills, CA
National Provider Identifier
1043655996
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ANTHEM HOSPICE CARE INC
Practice address
20121 Ventura Blvd
Ste 303
Woodland Hills, CA 91364-2546
Phone
(818) 812-7005
Fax
(818) 812-7016
NPI assigned
May 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Ms. Felicidad Isaga
Title
Ceo
Phone
(818) 812-7005

Specialties & licenses 1

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

Addresses

Primary practice location

20121 Ventura Blvd
Ste 303
Woodland Hills, CA 91364-2546

Mailing address

20121 Ventura Blvd
Ste 303
Woodland Hills, CA 91364-2546
Phone (818) 812-7005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161129000423 CA Part A Provider - Hospice 2163702663 Practice locations: Woodland Hills, CA

Hospice certification: CCN B31698

Legal name
ANTHEM HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 29, 2021
Last certification
Jul 29, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 30, 2013 in CA
Enrollment address
20121 Ventura Blvd
Ste 303
Woodland Hills, CA 91364-2559

Care Compare: Hospice

Medicare Care Compare
Listed as
Anthem Hospice Care, IncCCN B31698
Certified
Jul 29, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2281589Anthem Hospice Care, Inc.20121 Ventura Blvd Suite 303, Woodland Hills, CA 91364Certificate of waiverMay 8, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Felicidad a. Isaga Individual 5% Or Greater Direct Ownership Interest Jan 30, 2013 100%
Corporate OfficerCeo Jan 30, 2013 100%
W-2 Managing Employee Jan 30, 2013 100%

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": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1043655996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20121 VENTURA BLVD",
            "address_2": "STE 303",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642546",
            "telephone_number": "818-812-7005",
            "fax_number": "818-812-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20121 VENTURA BLVD",
            "address_2": "STE 303",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642546",
            "telephone_number": "818-812-7005",
            "fax_number": "818-812-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHEM HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "ISAGA",
        "authorized_official_first_name": "FELICIDAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-812-7005",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.