Green River Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GREEN RIVER HOSPICE

Doing business as

Calstro Hospice Orange County
Still Waters Hospice of the Desert

Practice address

78150 Calle Tampico Ste 205B
La Quinta, CA 92253-2907

Phone

(760) 683-2272

Fax

(760) 683-2245

NPI assigned

Dec 13, 2019

Last updated

Nov 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olaronke O Champion, RN BSN MBA

Title

President/Founder

Phone

(708) 261-6487

Specialties & licenses 1

Addresses

Other names 2

• Calstro Hospice Orange County Doing business as
• Still Waters Hospice of the Desert Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144868746. Details of each certification follow.

• CCN A11592 Hospice · Active · Details

Hospice certification: CCN A11592

Legal name

GREEN RIVER HOSPICE

Doing business as

CALSTRO HOSPICE ORANGE COUNTY INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 30, 2020

Last certification

Nov 30, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 12, 2019 in CA

Enrollment address

17332 Irvine Blvd
Ste 201
Tustin, CA 92780-3059

Listed as

Calstro Hospice Orange CountyCCN A11592 · All quality measures

Ownership

For-Profit

Certified

Nov 30, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1144868746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78150 CALLE TAMPICO STE 205B",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532907",
            "telephone_number": "760-683-2272",
            "fax_number": "760-683-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78150 CALLE TAMPICO STE 205B",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532907",
            "telephone_number": "760-683-2272",
            "fax_number": "760-683-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RIVER HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "OLARONKE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT/FOUNDER",
        "authorized_official_telephone_number": "708-261-6487",
        "authorized_official_credential": "RN BSN MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calstro Hospice Orange County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Still Waters Hospice of the Desert",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edith Gonzalez-Werner, M. D.
• Marie Rallie Goodson, MS-CCC-SLP
• Steven P Gorman, M.D.
• Judith Granados
• Angela Rae Grano, SLP
• Jenna Nicole Grindle, MD
• Angelica Guajardo, FT, LMFT
• Joseph Thomas Gualano, PHARMD
• Ammy C Guerra
• Lisa Gurzi, RN, IBCLC

• Community Based Hospice Care Agency in La Quinta, CA
• Providers in La Quinta, 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 Nov 26, 2025; 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.