Organization Active NPI

Tram Hospice Care Inc

  • Community Based Hospice Care Agency
  • Glendale, CA
National Provider Identifier
1114574977
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Nov 10, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN B21591
Ownership
For-Profit
Certified
Feb 15, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2194681Tram Hospice Care, Inc512 E Wilson Ave Ste 205, Glendale, CA 91206Certificate of waiverOct 1, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Maria Luisa Liwanag Individual 5% Or Greater Direct Ownership InterestCoo Mar 20, 2023 7%
Corporate OfficerCoo Mar 20, 2023 7%
Corporate DirectorBoard Member Mar 20, 2023 7%
W-2 Managing EmployeeCoo Mar 20, 2023 7%
Operational/Managerial ControlCoo Mar 20, 2023 7%
Doddanna Krishna Individual Corporate DirectorMedical Director Mar 20, 2023
Michelle V Cruz Individual 5% Or Greater Direct Ownership InterestAsstdirector Patient Care Services Mar 20, 2023 7%
Corporate OfficerAsstdirector Patient Care Services Mar 20, 2023 7%
Corporate DirectorBoard Member Mar 20, 2023 7%
W-2 Managing EmployeeAsstdirector Patient Care Services Mar 20, 2023 7%
Operational/Managerial ControlAsstdirector Patient Care Services Mar 20, 2023 7%
Arnaldo a Hukom Individual 5% Or Greater Direct Ownership InterestCfo Mar 20, 2023 28%
Corporate OfficerCfo Mar 20, 2023 28%
Corporate DirectorBoard Member Mar 20, 2023 28%
W-2 Managing EmployeeCfo Mar 20, 2023 28%
Operational/Managerial ControlCfo Mar 20, 2023 28%
Erwin de Jesus Sibal Individual 5% Or Greater Direct Ownership InterestCeo Mar 20, 2023 28%
Corporate OfficerCeo Mar 20, 2023 28%
Corporate DirectorBoard Member Mar 20, 2023 28%
W-2 Managing EmployeeCeo Mar 20, 2023 28%
Operational/Managerial ControlCeo Mar 20, 2023 28%
Shirley Adriano Individual 5% Or Greater Direct Ownership InterestDirector of Patient Care Services Mar 20, 2023 30%
Corporate OfficerDirector of Patient Care Services Mar 20, 2023 30%
Corporate DirectorBoard Member Mar 20, 2023 30%
W-2 Managing EmployeeAdministrator Mar 20, 2023 30%
Operational/Managerial ControlDirector of Patient Care Services 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

Verify at the official NPI Registry.