Active NPI
Togetherness Hospice Care
- Community Based Hospice Care Agency
- San Bernardino, CA
National Provider Identifier
1104465046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- TOGETHERNESS HOSPICE CARE
- Practice address
- 275 W Hospitality LN Ste 325
San Bernardino, CA 92408-3250 - Phone
- (909) 313-5225
- Fax
- (909) 494-7504
- NPI assigned
- Dec 23, 2019
- 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. Joel Candido
- Title
- Ceo
- Phone
- (909) 313-5225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
275 W Hospitality LN Ste 325
San Bernardino, CA 92408-3250
Mailing address
275 W Hospitality LN Ste 325
San Bernardino, CA 92408-3250
Phone (909) 313-5225
Other names 1
- Del Rosa Hospice II
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | contact@delrosahospice.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200211002292 | CA | Part A Provider - Hospice | 7719313709 | Practice locations: San Bernardino, CA |
Hospice certification: CCN A11754
- Legal name
- TOGETHERNESS HOSPICE CARE
- Doing business as
- DEL ROSA HOSPICE II
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 24, 2021
- Last certification
- Mar 24, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 8, 2019 in CA
- Enrollment address
- 275 W Hospitality LN
Ste 325
San Bernardino, CA 92408-3250
Care Compare: Hospice
Medicare Care Compare- Listed as
- Del Rosa Hospice II
- Ownership
- For-Profit
- Certified
- Mar 24, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
275 W Hospitality Ln
Ste 325
San Bernardino, CA 92408
Phone (909) 313-5225
1254 S Waterman Ave
Ste 56
San Bernardino, CA 92408
Phone (909) 572-1492
Ownership & related parties
All disclosed owners & managing parties 7
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 |
|---|---|---|---|
| Bernadette Agriam | 5% Or Greater Direct Ownership Interest | Apr 26, 2022 | 10% |
| John Alvarez | 5% Or Greater Direct Ownership Interest | Apr 26, 2022 | 14% |
| Joel Candido Candido | 5% Or Greater Direct Ownership Interest | Apr 26, 2022 | 16% |
| Corporate Officer | Apr 26, 2022 | 16% | |
| Corporate Director | Apr 26, 2022 | 16% | |
| W-2 Managing Employee | May 1, 2022 | 16% | |
| 766Hi LLC | 5% Or Greater Direct Ownership Interest | Apr 26, 2022 | 14% |
| Ramoncito Santos | 5% Or Greater Direct Ownership Interest | Apr 26, 2022 | 14% |
| Corporate Director | Apr 26, 2022 | 14% | |
| Ronaldo Santos | 5% Or Greater Direct Ownership Interest | Apr 26, 2022 | 14% |
| Abraham Olvera | 5% Or Greater Direct Ownership Interest | Apr 26, 2022 | 14% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687219200000",
"number": "1104465046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 W HOSPITALITY LN STE 325",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083250",
"telephone_number": "909-313-5225",
"fax_number": "909-494-7504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W HOSPITALITY LN STE 325",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083250",
"telephone_number": "909-313-5225",
"fax_number": "909-494-7504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOGETHERNESS HOSPICE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-23",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A",
"authorized_official_last_name": "CANDIDO",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-313-5225",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "contact@delrosahospice.com",
"affiliation": "N",
"endpointDescription": "Business Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Business Email Address",
"address_1": "275 W Hospitality Ln Ste 325",
"city": "San Bernardino",
"state": "CA",
"country_code": "US",
"postal_code": "924083250",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Del Rosa Hospice II",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.