Star Care Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

STAR CARE HOSPICE INC

Practice address

1768 Arrow Hwy
Suite 106
La Verne, CA 91750-5332

Phone

(909) 593-8105

Fax

(909) 593-8107

NPI assigned

Aug 13, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Elaine C Lat

Title

Ceo

Phone

(909) 593-8105

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A01505

Legal name

STAR CARE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 6, 2018

Last certification

Jul 6, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

May 26, 2012 in CA

Enrollment address

7033 Village Pkwy
Ste 209
Dublin, CA 94568-2424

Listed as

Star Care Hospice, IncCCN A01505 · All quality measures

Ownership

For-Profit

Certified

Jul 6, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Affiliated clinicians 1

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

• Kashif Naim Abdullah, M.D. , M.P.H

  • General Practice Physician
  • San Jose, CA
  • NPI 1164651212

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1063769776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 ARROW HWY",
            "address_2": "SUITE 106",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505332",
            "telephone_number": "909-593-8105",
            "fax_number": "909-593-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 ARROW HWY",
            "address_2": "SUITE 106",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505332",
            "telephone_number": "909-593-8105",
            "fax_number": "909-593-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "LAT",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-593-8105",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslee Sigala, AMFT
• Monique Nicole Simon
• Ashley Marie Sink
• Sleep Cloud, Trust (Sleep @ Home Diagnostics)
• Karen Guadalupe Soto-Gracian
• Star Home Health Resources, Inc.
• Steve Tung Wound Healing & Podiatry , PC
• Wakeda Bell Strickland, COTA/L
• Jason Gabriel Stringer
• Denise Stylianides, M.A.

• Community Based Hospice Care Agency in La Verne, CA
• Providers in La Verne, 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 Aug 13, 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.