Active NPI
Apex Hospice Care, Inc.
- Community Based Hospice Care Agency
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 550002191
- Legal business name
- APEX HOSPICE CARE, INC.
- Practice address
- 520 N Main St Ste 250
Santa Ana, CA 92701-4694 - Phone
- (714) 527-0887
- Fax
- (714) 844-4675
- NPI assigned
- Apr 22, 2013
- Last updated
- Mar 12, 2021
- 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
- Angela Ponce de Leon
- Title
- Administrator
- Phone
- (714) 527-0887
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 550002191 | CA | Primary |
Addresses
Primary practice location
520 N Main St Ste 250
Santa Ana, CA 92701-4694
Mailing address
520 N Main St Ste 250
Santa Ana, CA 92701-4694
Phone (714) 527-0887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 550002191 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130724000061 | CA | Part A Provider - Hospice | 9335380997 | Practice locations: Santa Ana, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1144664053. Details of each certification follow.
Hospice certification: CCN 751539
- Legal name
- APEX HOSPICE CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Apr 11, 2014
- Last certification
- Dec 6, 2019
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 25, 2011
- Enrollment address
- 520 N Main St
Ste 250
Santa Ana, CA 92701-4694
Care Compare: Hospice
Medicare Care Compare- Listed as
- Apex Hospice Care, Inc
- Ownership
- For-Profit
- Certified
- Apr 11, 2014
- 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 |
|---|---|---|---|
| 05D2055805 | Apex Hospice Care, Inc. | Certificate of waiver | Oct 13, 2026 |
National Provider Directory
National Provider DirectoryLocations
520 N Main St
Ste 250
Santa Ana, CA 92701
Phone (714) 527-0887
8381 Katella Ave
Ste U
Stanton, CA 90680
Phone (714) 925-5827
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Angela D Ponce de Leon | 5% Or Greater Direct Ownership Interest | Sep 15, 2012 | 100% |
| Corporate Officer | Sep 15, 2012 | 100% | |
| Corporate Director | Sep 15, 2012 | 100% | |
| W-2 Managing Employee | Sep 15, 2012 | 100% | |
| Marlou Canas | W-2 Managing Employee | Aug 31, 2015 | |
| Robert Carl Schreiman | Contracted Managing Employee | Sep 15, 2012 | |
| Operational/Managerial Control | Sep 15, 2012 | ||
| Michele St Lawrence | W-2 Managing Employee | Jul 1, 2019 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Huntington Beach, CA
- NPI 1871605196
Contracted Managing Employee, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Tustin, CA
- NPI 1396857181
Hospice
-
- Geriatric Medicine (Family Medicine) Physician
- Huntington Beach, CA
- NPI 1871605196
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615507200000",
"number": "1144664053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 N MAIN ST STE 250",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014694",
"telephone_number": "714-527-0887",
"fax_number": "714-844-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N MAIN ST STE 250",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014694",
"telephone_number": "714-527-0887",
"fax_number": "714-844-4675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APEX HOSPICE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-22",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A",
"authorized_official_last_name": "PONCE DE LEON",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "714-527-0887"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "CA",
"license": "550002191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "550002191",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.