Definitive Hospice Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DEFINITIVE HOSPICE CARE

Practice address

1122 E Lincoln Ave Ste B400
Orange, CA 92865-1947

Phone

(714) 906-6046

Fax

(951) 547-1369

NPI assigned

Nov 10, 2020

Last updated

Nov 10, 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

Restituto Lumba Calilung

Title

President/Ceo/Cfo

Phone

(714) 906-6046

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 1083216659. Details of each certification follow.

• CCN B31512 Hospice · Active · Details

Hospice certification: CCN B31512

Legal name

DEFINITIVE HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 4, 2022

Last certification

Jan 4, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

1122 E Lincoln Ave
Ste B400
Orange, CA 92865-1947

Listed as

Definitive Hospice CareCCN B31512 · All quality measures

Certified

Jan 4, 2022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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.

• Robert C Schreiman, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Huntington Beach, CA
  • NPI 1871605196

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Robert C Schreiman, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Huntington Beach, CA
  • NPI 1871605196

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1083216659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE STE B400",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651947",
            "telephone_number": "714-906-6046",
            "fax_number": "951-547-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE STE B400",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651947",
            "telephone_number": "714-906-6046",
            "fax_number": "951-547-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFINITIVE HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "CALILUNG",
        "authorized_official_first_name": "RESTITUTO",
        "authorized_official_middle_name": "LUMBA",
        "authorized_official_title_or_position": "PRESIDENT/CEO/CFO",
        "authorized_official_telephone_number": "714-906-6046"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey E Deckey, MD
• Lauren Decremer
• Christine Decristofaro, MA, IMF
• Nathan Adam Dedic, M.S., PA-C
• Mary Deeman, PHARMD
• Helia Degan
• Patricia Cecile Degraw-Schwartz, DDS
• Catherine F Hao Deguzman, NP FAC
• Conrad Deguzman, BCBA
• Mya Rodriguez Deguzman

• Community Based Hospice Care Agency in Orange, CA
• Providers in Orange, 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 10, 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.