Active NPI
One Stop Hospice Inc.
Doing business as Green Meadows Hospice Care
- Community Based Hospice Care Agency
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ONE STOP HOSPICE INC.
- Doing business as
- Green Meadows Hospice Care
- Practice address
- 2204 E 4TH St Ste 100
Santa Ana, CA 92705-3868 - Phone
- (714) 808-1912
- Fax
- (714) 844-9498
- NPI assigned
- Jun 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Diluvan Hassan
- Title
- Ceo
- Phone
- (714) 808-1912
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2204 E 4TH St Ste 100
Santa Ana, CA 92705-3868
Mailing address
2204 E 4TH St Ste 100
Santa Ana, CA 92705-3868
Phone (714) 808-1912
Other names 1
- Green Meadows Hospice Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150722005824 | CA | Part A Provider - Hospice | 1759694532 | Practice locations: Santa Ana, CA |
Hospice certification: CCN 921676
- Legal name
- ONE STOP HOSPICE, INC.
- Doing business as
- GREEN MEADOWS HOSPICE CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 17, 2017
- Last certification
- Oct 15, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Jun 17, 2015 in CA
- Enrollment address
- 2204 E 4TH St
Ste 100
Santa Ana, CA 92705-3868
Care Compare: Hospice
Medicare Care Compare- Listed as
- Green Meadows Hospice Care
- Ownership
- For-Profit
- Certified
- Jul 17, 2017
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
2204 E 4th St
Ste 100
Santa Ana, CA 92705
Phone (714) 808-1912
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jeremy Kirkland | W-2 Managing Employee | Nov 1, 2021 | 100% |
| Diluvan Shabban Hassan | 5% Or Greater Direct Ownership Interest | Dec 15, 2016 | 100% |
| Corporate Officer | Dec 15, 2016 | 100% | |
| Corporate Director | Dec 15, 2016 | 100% | |
| W-2 Managing Employee | Dec 15, 2016 | 100% | |
| Operational/Managerial Control | Dec 15, 2016 | 100% | |
| Ashish a Bhavsar | Contracted Managing Employee | Jan 1, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospitalist Physician
- Orange, CA
- NPI 1881871754
Contracted Managing Employee
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": "1435104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724284800000",
"number": "1063894152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 E 4TH ST STE 100",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053868",
"telephone_number": "714-808-1912",
"fax_number": "714-844-9498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 E 4TH ST STE 100",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053868",
"telephone_number": "714-808-1912",
"fax_number": "714-844-9498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE STOP HOSPICE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-24",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A",
"authorized_official_last_name": "HASSAN",
"authorized_official_first_name": "DILUVAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-808-1912",
"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": [
{
"organization_name": "Green Meadows Hospice Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.