Organization Active NPI

One Stop Hospice Inc.

Doing business as Green Meadows Hospice Care

  • Community Based Hospice Care Agency
  • Santa Ana, CA
National Provider Identifier
1063894152
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Aug 22, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CareCCN 921676 · All quality measures
Ownership
For-Profit
Certified
Jul 17, 2017
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Jeremy Kirkland Individual W-2 Managing EmployeeAdministrator Nov 1, 2021 100%
Diluvan Shabban Hassan Individual 5% Or Greater Direct Ownership InterestOwner Dec 15, 2016 100%
Corporate OfficerCeo/Board Director/Owner Dec 15, 2016 100%
Corporate DirectorCeo/Board Director/Owner Dec 15, 2016 100%
W-2 Managing EmployeeCeo/Board Director/Owner Dec 15, 2016 100%
Operational/Managerial ControlCeo/Board Director/Owner Dec 15, 2016 100%
Ashish a Bhavsar Individual Contracted Managing EmployeeMD; 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.

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

Verify at the official NPI Registry.