Devine Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DEVINE HOSPICE CARE, INC.

Practice address

20945 Devonshire St Ste 201C
Chatsworth, CA 91311-2370

Phone

(818) 616-3032

Fax

(844) 273-0762

NPI assigned

Oct 11, 2019

Organization subpart

No

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

Authorized official

Name

Mariel Villareal, RNNPI 1790314888

Title

Administrator

Phone

(818) 616-3032

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A11661

Legal name

DEVINE HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 18, 2020

Last certification

Sep 18, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 9, 2019 in CA

Enrollment address

20945 Devonshire St
Ste 201C
Chatsworth, CA 91311-2370

Listed as

Devine Hospice Care, IncCCN A11661 · All quality measures

Ownership

For-Profit

Certified

Sep 18, 2020

Medicare certification status

ActiveFrom the Provider of Services file

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 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Violeta B. Vicencio, MD

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1679699193

  Corporate Director

  CMS ownership
• Mariel Villareal, FNP-BC

  • Family Nurse Practitioner
  • Simi Valley, CA
  • NPI 1790314888

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Practitioners 2

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

• Mariel Villareal, FNP-BC

  • Family Nurse Practitioner
  • Simi Valley, CA
  • NPI 1790314888

  Hospice Care, Community Based

  NPD Authorized official
• Violeta B. Vicencio, MD

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1679699193
  NPD (past)

Affiliated clinicians 1

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

• Hanan Lobel, MD

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1174612287

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1083256036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20945 DEVONSHIRE ST STE 201C",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112370",
            "telephone_number": "818-616-3032",
            "fax_number": "844-273-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20945 DEVONSHIRE ST STE 201C",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112370",
            "telephone_number": "818-616-3032",
            "fax_number": "844-273-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "VILLAREAL",
        "authorized_official_first_name": "MARIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-616-3032",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Drake Nepomuceno De Leon, DMD
• Carlo Deantonio, MD
• Deanna Debartolo
• Dominic Ermie Deogracias, RN
• Department of Mental Health
• Sonia Chopra Dhir
• Divine Touch Hospice Care Inc
• Lindsay Michelle Doering, DPT
• Douce Home Care, Inc.
• Douce Hospice Care Inc

• Community Based Hospice Care Agency in Chatsworth, CA
• Providers in Chatsworth, 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 Apr 18, 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.

Verify at the official NPI Registry.