Palm Springs Hospice and Palliative Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PALM SPRINGS HOSPICE AND PALLIATIVE CARE INC

Practice address

69-730 Higway 111
Suite 204
Rancho Mirage, CA 92270

Phone

(818) 426-2414

NPI assigned

Nov 16, 2020

Last updated

Nov 16, 2020By 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

Mr. Armen Apoyan

Title

Ceo

Phone

(818) 445-1913

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 1063014868. Details of each certification follow.

• CCN B51545 Hospice · Active · Details

Hospice certification: CCN B51545

Legal name

PALM SPRINGS HOSPICE AND PALLIATIVE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 3, 2022

Last certification

Nov 3, 2022

Organization structure

CorporationProprietary

Incorporated

Jul 26, 2020 in CA

Enrollment address

69730 Highway 111
Ste 204
Rancho Mirage, CA 92270-2874

Listed as

Palm Springs Hospice and Palliative Care IncCCN B51545 · All quality measures

Certified

Nov 3, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 5

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.

• Abdallah Nazmi Abu-Samrah, M.D

  • Internal Medicine Physician
  • Palm Springs, CA
  • NPI 1699031450

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Abdallah Nazmi Abu-Samrah, M.D

  • Internal Medicine Physician
  • Palm Springs, CA
  • NPI 1699031450

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1063014868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69-730 HIGWAY 111",
            "address_2": "SUITE 204",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "818-426-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69-730 HIGWAY 111",
            "address_2": "SUITE 204",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "818-426-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM SPRINGS HOSPICE AND PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "APOYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-445-1913",
        "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": []
}

• William R Page, MD
• Paige Dubin MD PC
• Juana I Pallares-Hernandez
• Palm Desert Radiology Medical Group, Inc (Eisenhower Radiology Medical Group, Inc)
• Palm Springs Home Health Nurses Inc
• Heather L Palmer, P.A.
• Praveen Panguluri, M.D.
• Daniel Jacob Panhassi, MD
• Amar Kumar Parimi, M.D.
• Vanessa Parise

• Community Based Hospice Care Agency in Rancho Mirage, CA
• Providers in Rancho Mirage, 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 Nov 16, 2020; 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.