Organization Active NPI

Advent Hospice Care Inc

  • Community Based Hospice Care Agency
  • Arcadia, CA
National Provider Identifier
1114332079
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ADVENT HOSPICE CARE INC
Practice address
440 E Huntington Drive Suite 300
Office 329
Arcadia, CA 91006-9100
Phone
(626) 342-6921
Fax
(800) 774-5741
NPI assigned
Jun 30, 2014
Last updated
Jun 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Belle C Decina, M.A.
Title
President
Phone
(626) 722-5098

Specialties & licenses 1

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

Addresses

Primary practice location

440 E Huntington Drive Suite 300
Office 329
Arcadia, CA 91006-9100

Mailing address

545 N Rimsdale Ave Unit 3004
Covina, CA 91722-7191
Phone (626) 722-5098

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220210000750 CA Part A Provider - Hospice 1850600347 Practice locations: Van Nuys, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114332079. Details of each certification follow.

Hospice certification: CCN B41639

Legal name
ADVENT HOSPICE CARE, INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 16, 2022
Last certification
Aug 16, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 18, 2020 in CA
Enrollment address
6711 Van Nuys Blvd
Suite 300, Office 329
Van Nuys, CA 91405-4620

Care Compare: Hospice

Medicare Care Compare
Listed as
Advent Hospice Care IncCCN B41639 · All quality measures
Certified
Aug 16, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6711 Van Nuys Blvd
Ste 300
Van Nuys, CA 91405
Phone (818) 646-2447

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Beata Sherman Individual 5% Or Greater Direct Ownership Interest Oct 31, 2022 100%
Corporate OfficerOwner/Ceo/President Oct 31, 2022 100%
Corporate DirectorOwner/Ceo/President Oct 31, 2022 100%
W-2 Managing EmployeeOwner/Ceo/President Oct 31, 2022 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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1114332079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 N RIMSDALE AVE UNIT 3004",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917227191",
            "telephone_number": "626-722-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E HUNTINGTON DRIVE SUITE 300",
            "address_2": "OFFICE 329",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910069100",
            "telephone_number": "626-342-6921",
            "fax_number": "800-774-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENT HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "DECINA",
        "authorized_official_first_name": "BELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-722-5098",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.