Vnacare

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

DHS 980000547 Issued in CA

Legal business name

VNACARE

Practice address

2151 E Convention Center Way Ste 100
Ontario, CA 91764-5449

Phone

(909) 624-3574

Fax

(909) 624-1559

NPI assigned

Aug 17, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Marsha Fox, PHN, BSN

Title

President/Ceo

Phone

(909) 624-3574

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• VNA Hospice and Palliative Care of Southern California Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 051535

Legal name

VNACARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 26, 1988

Last certification

Jul 22, 2021

Ownership / control type

Non-Profit - Other

Organization structure

CorporationNon-profit

Incorporated

Feb 14, 1952 in CA

Enrollment address

2151 E Convention Center Way
Ste 100
Ontario, CA 91764-5449

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Vnacare

  • Community Based Hospice Care Agency
  • Murrieta, CA
  • NPI 1306261029

  0648363978

  Same PAC ID
• Vnacare

  • Community Based Hospice Care Agency
  • Apple Valley, CA
  • NPI 1740519545

  0648363978

  Same PAC ID

Listed as

VnacareCCN 051535 · All quality measures

Ownership

Non-Profit

Certified

Feb 26, 1988

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 23

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Timothy J Dauwalder, D.O.

  • Family Medicine Physician
  • Upland, CA
  • NPI 1942379987

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Gregory Dahlquist, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Pomona, CA
  • NPI 1558362467
  Care Compare affiliation
• John Daliva, DO

  • Addiction Medicine (Internal Medicine) Physician
  • Pomona, CA
  • NPI 1760836662

  Hospice

  Care Compare affiliation
• Christine Kwon, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Pomona, CA
  • NPI 1013414515
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1114919099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 E CONVENTION CENTER WAY STE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645449",
            "telephone_number": "909-624-3574",
            "fax_number": "909-624-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 E CONVENTION CENTER WAY STE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645449",
            "telephone_number": "909-624-3574",
            "fax_number": "909-624-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VNACARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "909-624-3574",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "DHS 980000547",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "DHS 980000547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01535F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT07008F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VNA Hospice and Palliative Care of Southern California",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community Based Hospice Care Agency in Ontario, CA
• Providers in Ontario, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.

Verify at the official NPI Registry.