Organization Active NPI

Apex Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Santa Ana, CA
National Provider Identifier
1144664053
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
550002191 Issued in CA
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
550002191OtherCASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 751539 · All quality measures
Ownership
For-Profit
Certified
Apr 11, 2014
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
05D2055805Apex Hospice Care, Inc.520 N Main St, Ste 250, Santa Ana, CA 92701Certificate of waiverOct 13, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Angela D Ponce de Leon Individual 5% Or Greater Direct Ownership InterestAdministrator and Owner Sep 15, 2012 100%
Corporate OfficerCeo Sep 15, 2012 100%
Corporate DirectorCeo Sep 15, 2012 100%
W-2 Managing EmployeeAdministrator Sep 15, 2012 100%
Marlou Canas Individual W-2 Managing EmployeeDirector of Patient Care Service Aug 31, 2015
Robert Carl Schreiman Individual Contracted Managing EmployeeMedical Director Sep 15, 2012
Operational/Managerial ControlMedical Director Sep 15, 2012
Michele St Lawrence Individual W-2 Managing EmployeeDirector of Patient Care Services 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.

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "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

Verify at the official NPI Registry.