Blessed Hope Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BLESSED HOPE HOSPICE, INC.

Practice address

2619 S Waterman Ave
Ste D
San Bernardino, CA 92408-3724

Phone

(909) 492-0055

Fax

(909) 891-0127

NPI assigned

Jan 28, 2015

Organization subpart

No

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

Authorized official

Name

Crisostomo Aniag

Title

Ceo

Phone

(909) 492-0055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 921721

Legal name

BLESSED HOPE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 26, 2017

Last certification

Jul 22, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jan 12, 2015 in CA

Enrollment address

2619 S Waterman Ave
Ste D
San Bernardino, CA 92408-3737

Listed as

Blessed Hope Hospice, IncCCN 921721

Ownership

For-Profit

Certified

Sep 26, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tu Hoang, M.D.

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1588696223
  NPD (past)

Affiliated clinicians 2

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

• Farschad K Birdjandi, M.D.

  • Internal Medicine Physician
  • Chula Vista, CA
  • NPI 1205823929

  Hospice

  Care Compare affiliation
• Man Q. Vu, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • La Jolla, CA
  • NPI 1740254325

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1063802106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 S WATERMAN AVE",
            "address_2": "STE D",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083724",
            "telephone_number": "909-492-0055",
            "fax_number": "909-891-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 S WATERMAN AVE",
            "address_2": "STE D",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083724",
            "telephone_number": "909-492-0055",
            "fax_number": "909-891-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED HOPE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "ANIAG",
        "authorized_official_first_name": "CRISOSTOMO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-492-0055"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Blanco, LCSW
• Gabriel Blanco
• Javier Edgar Blanco
• Victoria Taylor Blaney
• Adrianne Marie Blasquez, 5F9961DE68
• Blessing Community Health Center
• Blessing Community Health Center
• David Robert Block, MD
• Lexus Mae Block, BCBA
• Blood Bank of San Bernardino & Riverside Counties

• Community Based Hospice Care Agency in San Bernardino, CA
• Providers in San Bernardino, 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 Jan 28, 2015; 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.