NPIMap

Organization Active NPI

RC Harmony Hospice & Palliative Care Inc.

  • Community Based Hospice Care Agency
  • Redlands, CA
National Provider Identifier
1104418219
Registry record updated Oct 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
RC HARMONY HOSPICE & PALLIATIVE CARE INC.
Practice address
1706 Plum LN Ste 129
Redlands, CA 92374-4578
Phone
(909) 747-4846
NPI assigned
Feb 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2021

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

Authorized official

Name
Rocky Caro
Title
Ceo
Phone
(909) 494-0793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1706 Plum LN Ste 129
Redlands, CA 92374-4578

Mailing address

1706 Plum LN Ste 129
Redlands, CA 92374-4578
Phone (951) 777-4460

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210326000642 CA Part A Provider - Hospice 9537576111 Practice locations: Redlands, CA

Hospice certification: CCN B51668

Legal name
RC HARMONY HOSPICE & PALLIATIVE CARE INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 30, 2022
Last certification
Sep 16, 2022
Organization structure
CorporationProprietary
Incorporated
Feb 4, 2021 in CA
Enrollment address
1706 Plum LN
Ste 129
Redlands, CA 92374-4578

Care Compare: Hospice

Medicare Care Compare
Listed as
RC Harmony Hospice & Palliative Care IncCCN B51668
Certified
Sep 30, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1706 Plum Ln
Ste 129
Redlands, CA 92374
Phone (909) 747-4846

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Charina Holcomb Individual 5% Or Greater Direct Ownership Interest Mar 15, 2021 60%
Corporate OfficerCfo, Administrator Designee Mar 15, 2021 60%
Corporate DirectorCfo, Administrator Designee Mar 15, 2021 60%
W-2 Managing EmployeeCfo, Administrator Designee Mar 15, 2021 60%
Operational/Managerial ControlCfo, Administrator Designee Mar 15, 2021 60%
Rocky Caro Individual 5% Or Greater Direct Ownership Interest Mar 15, 2021 40%
Corporate OfficerCeo Mar 15, 2021 40%
Corporate DirectorCeo Mar 15, 2021 40%
W-2 Managing Employee Mar 15, 2021 40%
Operational/Managerial ControlCeo Mar 15, 2021 40%
Irene Austria Individual W-2 Managing EmployeeDirector of Patient Care Serv Mar 11, 2021 100%
Tarek Ezzeddine Individual Contracted Managing EmployeeMedical Director Mar 11, 2024 100%

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": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634428800000",
    "number": "1104418219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 PLUM LN STE 129",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744578",
            "telephone_number": "951-777-4460",
            "fax_number": "909-312-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 PLUM LN STE 129",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744578",
            "telephone_number": "909-747-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RC HARMONY HOSPICE & PALLIATIVE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-17",
        "status": "A",
        "authorized_official_last_name": "CARO",
        "authorized_official_first_name": "ROCKY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-494-0793"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.