Active NPI
Tram Hospice Care Inc
- Community Based Hospice Care Agency
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- TRAM HOSPICE CARE INC
- Practice address
- 512 E Wilson Ave Ste 205
Glendale, CA 91206-4821 - Phone
- (818) 937-9145
- NPI assigned
- Aug 26, 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
- Roger Soriano
- Title
- Administrator
- Phone
- (818) 937-9145
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
512 E Wilson Ave Ste 205
Glendale, CA 91206-4821
Mailing address
512 E Wilson Ave Ste 205
Glendale, CA 91206-4821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200729001998 | CA | Part A Provider - Hospice | 2567887235 | Practice locations: Northridge, CA |
Hospice certification: CCN B21591
- Legal name
- TRAM HOSPICE CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Feb 15, 2021
- Last certification
- Feb 15, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- May 7, 2019 in CA
- Enrollment address
- 9221 Corbin Ave
Ste 175
Northridge, CA 91324-1661
Care Compare: Hospice
Medicare Care Compare- Listed as
- Tram Hospice Care, Inc
- Ownership
- For-Profit
- Certified
- Feb 15, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2194681 | Tram Hospice Care, Inc | Certificate of waiver | Oct 1, 2026 |
National Provider Directory
National Provider DirectoryLocations
512 E Wilson Ave
Ste 205
Glendale, CA 91206
Phone (818) 937-9145
9221 Corbin Ave
Ste 175
Northridge, CA 91324
Phone (818) 937-9145
Ownership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Maria Luisa Liwanag | 5% Or Greater Direct Ownership Interest | Mar 20, 2023 | 7% |
| Corporate Officer | Mar 20, 2023 | 7% | |
| Corporate Director | Mar 20, 2023 | 7% | |
| W-2 Managing Employee | Mar 20, 2023 | 7% | |
| Operational/Managerial Control | Mar 20, 2023 | 7% | |
| Doddanna Krishna | Corporate Director | Mar 20, 2023 | |
| Michelle V Cruz | 5% Or Greater Direct Ownership Interest | Mar 20, 2023 | 7% |
| Corporate Officer | Mar 20, 2023 | 7% | |
| Corporate Director | Mar 20, 2023 | 7% | |
| W-2 Managing Employee | Mar 20, 2023 | 7% | |
| Operational/Managerial Control | Mar 20, 2023 | 7% | |
| Arnaldo a Hukom | 5% Or Greater Direct Ownership Interest | Mar 20, 2023 | 28% |
| Corporate Officer | Mar 20, 2023 | 28% | |
| Corporate Director | Mar 20, 2023 | 28% | |
| W-2 Managing Employee | Mar 20, 2023 | 28% | |
| Operational/Managerial Control | Mar 20, 2023 | 28% | |
| Erwin de Jesus Sibal | 5% Or Greater Direct Ownership Interest | Mar 20, 2023 | 28% |
| Corporate Officer | Mar 20, 2023 | 28% | |
| Corporate Director | Mar 20, 2023 | 28% | |
| W-2 Managing Employee | Mar 20, 2023 | 28% | |
| Operational/Managerial Control | Mar 20, 2023 | 28% | |
| Shirley Adriano | 5% Or Greater Direct Ownership Interest | Mar 20, 2023 | 30% |
| Corporate Officer | Mar 20, 2023 | 30% | |
| Corporate Director | Mar 20, 2023 | 30% | |
| W-2 Managing Employee | Mar 20, 2023 | 30% | |
| Operational/Managerial Control | Mar 20, 2023 | 30% |
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": "1566777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699574400000",
"number": "1114574977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 E WILSON AVE STE 205",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 E WILSON AVE STE 205",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064821",
"telephone_number": "818-937-9145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAM HOSPICE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-26",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A",
"authorized_official_last_name": "SORIANO",
"authorized_official_first_name": "ROGER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "818-937-9145"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.