Oak Creek Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

OAK CREEK HOSPICE LLC

Practice address

9580 Oak Avenue Pkwy Ste 15
Folsom, CA 95630-1888

Phone

(916) 458-5994

Fax

(916) 545-2165

NPI assigned

Oct 2, 2017

Last updated

Oct 1, 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

Mr. Mandeep Cheema, OWNER

Title

Coo

Phone

(916) 716-9735

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174033393. Details of each certification follow.

• CCN A01609 Hospice · Active · Details

Hospice certification: CCN A01609

Legal name

OAK CREEK HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 25, 2019

Last certification

Jun 25, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Sep 13, 2017 in CA

Enrollment address

9580 Oak Avenue Pkwy
Ste 15
Folsom, CA 95630-1888

Listed as

Oak Creek Hospice, LLCCCN A01609 · All quality measures

Ownership

For-Profit

Certified

Jun 25, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 6

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 2

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

• Chandan D S Cheema, MD

  • Internal Medicine Physician
  • Yuba City, CA
  • NPI 1053488114

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Harkesh Singh Sandhu, M.D.

  • Internal Medicine Physician
  • Fair Oaks, CA
  • NPI 1457334062

  Contracted Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chandan D S Cheema, MD

  • Internal Medicine Physician
  • Yuba City, CA
  • NPI 1053488114
  NPD

Affiliated clinicians 1

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

• Harkesh Singh Sandhu, M.D.

  • Internal Medicine Physician
  • Fair Oaks, CA
  • NPI 1457334062

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1174033393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9580 OAK AVENUE PKWY STE 15",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956301888",
            "telephone_number": "916-458-5994",
            "fax_number": "916-545-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9580 OAK AVENUE PKWY STE 15",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956301888",
            "telephone_number": "916-458-5994",
            "fax_number": "916-545-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CREEK HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "CHEEMA",
        "authorized_official_first_name": "MANDEEP",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "916-716-9735",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Folsom, CA
• Providers in Folsom, 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 Oct 1, 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.