Lifelink Hospice & Palliative Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LIFELINK HOSPICE & PALLIATIVE CARE, INC.

Practice address

211 W Foothill Blvd Ste B
Glendora, CA 91741-3357

Phone

(626) 335-6173

Fax

(626) 387-9651

NPI assigned

May 1, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Rosario Valenciano-Sison

Title

President

Phone

(626) 335-6173

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 921639

Legal name

LIFELINK HOSPICE & PALLIATIVE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 22, 2016

Last certification

Oct 25, 2017

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

211 W Foothill Blvd
Ste B
Glendora, CA 91741-3357

Listed as

Lifelink Hospice & Palliative CareCCN 921639

Ownership

Non-Profit

Certified

Sep 22, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 5

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.

• Rabi U. Alam, MD

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1821288812

  Contracted Managing Employee

  CMS ownership

Change-of-ownership history 2

Affiliated clinicians 1

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

• Rabi U. Alam, MD

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1821288812

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1154766301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W FOOTHILL BLVD STE B",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413357",
            "telephone_number": "626-335-6173",
            "fax_number": "626-387-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W FOOTHILL BLVD STE B",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413357",
            "telephone_number": "626-335-6173",
            "fax_number": "626-387-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINK HOSPICE & PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "VALENCIANO-SISON",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-335-6173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Lewis
• Elisha Leyva
• Wei Li, M.D.
• Life & Hope Home Health Care Inc
• Lifelink Health Providers, Inc.
• Valeda K Limlahapan, NP
• Chin Hua Lin, DPM
• Lawrence Eugene Lipkowski, DDS
• Lisa a. Wagner Chiropractic, Inc
• Lisa Thomsen MD Inc a Professional Corporation

• Community Based Hospice Care Agency in Glendora, CA
• Providers in Glendora, 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 Mar 7, 2018; 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.