Holy Cross Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550002036 Issued in CA

Legal business name

HOLY CROSS HOSPICE, INC.

Practice address

28 N Oak Ave
Suite #201
Pasadena, CA 91107-5870

Phone

(626) 283-6588

Fax

(626) 283-6587

NPI assigned

Dec 16, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jose Jum Segovia Cabalinan

Title

Administrator

Phone

(626) 283-6588

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 751619

Legal name

HOLY CROSS HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 6, 2014

Last certification

Jan 23, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

May 25, 2011 in CA

Enrollment address

28 N Oak Ave
# 201
Pasadena, CA 91107-5870

Listed as

Holy Cross Hospice, IncCCN 751619

Ownership

For-Profit

Certified

May 6, 2014

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 4

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Robert Wing Chan, MD

  • Internal Medicine Physician
  • Alhambra, CA
  • NPI 1508826488

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 2

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

• Robert Wing Chan, MD

  • Internal Medicine Physician
  • Alhambra, CA
  • NPI 1508826488

  Hospice

  Care Compare affiliation
• Tai Hing Wu, MD

  • Internal Medicine Physician
  • San Gabriel, CA
  • NPI 1417963661

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1053680280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N OAK AVE",
            "address_2": "SUITE #201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911075870",
            "telephone_number": "626-283-6588",
            "fax_number": "626-283-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N OAK AVE",
            "address_2": "SUITE #201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911075870",
            "telephone_number": "626-283-6588",
            "fax_number": "626-283-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY CROSS HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "CABALINAN",
        "authorized_official_first_name": "JOSE JUM",
        "authorized_official_middle_name": "SEGOVIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-283-6588",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550002036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joilyn Holmes, LMFT
• Keith Holmes
• Latisha Holmes
• Josine Nicolien Holsen, ASW
• Sierra Holt
• Douglas Holybee
• Eva Hom
• Homes for Life Foundation
• Homes for Life Foundation
• Homestead Home Health Inc

• Community Based Hospice Care Agency in Pasadena, CA
• Providers in Pasadena, 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 Dec 26, 2012; 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.