Organization Active NPI

Living Stones Hospice Care LLC

  • Community Based Hospice Care Agency
  • Palm Desert, CA
National Provider Identifier
1154978559
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LIVING STONES HOSPICE CARE LLC
Practice address
75108 Gerald Ford Dr Ste 3
Palm Desert, CA 92211-6802
Phone
(760) 898-4308
NPI assigned
Aug 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Matthew McMurphy
Title
Owner
Phone
(214) 929-9580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

75108 Gerald Ford Dr Ste 3
Palm Desert, CA 92211-6802

Mailing address

75108 Gerald Ford Dr Ste 3
Palm Desert, CA 92211-6802
Phone (760) 898-4308

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201027000201 CA Part A Provider - Hospice 9032539309 Practice locations: Palm Desert, CA

Hospice certification: CCN B31600

Legal name
LIVING STONES HOSPICE CARE LLC
Doing business as
ACACIA HOSPICE OF THE DESERT
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 16, 2021
Last certification
Mar 16, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
75108 Gerald Ford Dr
Ste 3
Palm Desert, CA 92211-6802

National Provider Directory

National Provider Directory

Locations

1811 W Katella Ave
Ste 141
Anaheim, CA 92804
Phone (714) 584-3231

75108 Gerald Ford Dr
Ste 3
Palm Desert, CA 92211
Phone (760) 898-4308

960 W San Marcos Blvd
Ste 220
San Marcos, CA 92078
Phone (760) 707-6765

960 W San Marcos Blvd
San Marcos, CA 92078

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Acacia Hospice of the Low Desert LLC Organization, Wilmington, DE LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 23, 2024 49%
Acacia Health Midco, LLC Organization, Wilmington, DE LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 23, 2024 49%
Alexsan Agazaryan Individual 5% Or Greater Indirect Ownership Interest Aug 23, 2024 9.8%
Corporate OfficerPresident & Ceo Aug 23, 2024
Acacia Health Blocker, Inc. Organization, Wilmington, DE Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 23, 2024 49%
Acacia Health, LLC Organization, Wilmington, DE LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 23, 2024 49%
Dante Bautista Individual 5% Or Greater Direct Ownership Interest Aug 23, 2024 51%
Corporate OfficerCeo, Board Member Dec 10, 2023 40%
Corporate DirectorCeo, Board Member Dec 10, 2023 40%
W-2 Managing EmployeeCeo, Board Member Dec 10, 2023 65%
Merit Capital Fund VII, LP Organization, Wilmington, DE Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 23, 2024 30.77%
David Ko Individual W-2 Managing EmployeeMD; Aug 30, 2024
Matthew McMurphy Individual 5% Or Greater Indirect Ownership Interest Aug 23, 2024 8.4%
Stephanie Ferratt Individual W-2 Managing EmployeeAd; Aug 28, 2024
Acacia McMurphy, LLC Organization, Wilmington, DE LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 23, 2024 8.4%
Huy Thanh Ho Individual Contracted Managing EmployeeMedical Director Dec 10, 2023
Agazaryan ML Holdings, Inc. Organization, Burbank, CA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 23, 2024 9.8%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1154978559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75108 GERALD FORD DR STE 3",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116802",
            "telephone_number": "760-898-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75108 GERALD FORD DR STE 3",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116802",
            "telephone_number": "760-898-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING STONES HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "MCMURPHY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-929-9580"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.