1 Heart Hospice and Palliative Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

1 HEART HOSPICE AND PALLIATIVE CARE, INC.

Practice address

23720 Arlington Ave Ste 4B
Torrance, CA 90501-6100

Phone

(424) 263-5332

NPI assigned

Feb 17, 2020

Last updated

Feb 17, 2020By 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

Cynlie A Bunal

Title

President/Ceo

Phone

(424) 263-5332

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 1174156285. Details of each certification follow.

• CCN A01634 Hospice · Active · Details

Hospice certification: CCN A01634

Legal name

1 HEART HOSPICE AND PALLIATIVE CARE INC

Doing business as

NOBLE HEART HOSPICE AND PALLIATIVE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 30, 2019

Last certification

Apr 30, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

23720 Arlington Ave
Ste 4B
Torrance, CA 90501-6100

Listed as

1 Heart Hospice and Palliative Care, IncCCN A01634 · All quality measures

Ownership

For-Profit

Certified

Apr 30, 2019

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

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

• Jose M Elacion, M.D.

  • Family Medicine Physician
  • Panorama City, CA
  • NPI 1497823405

  W-2 Managing Employee

  CMS ownership

Change-of-ownership history 1

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.

• Carlos Roberto Meza, M.D.

  • Nephrology Physician
  • Monterey Park, CA
  • NPI 1063592269
  NPD (past)

Affiliated clinicians 7

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

• Matthew Greg Lefferman, DO

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1184622417

  Hospice

  Care Compare affiliation
• Carlos Roberto Meza, M.D.

  • Nephrology Physician
  • Monterey Park, CA
  • NPI 1063592269

  Hospice

  Care Compare affiliation
• Hoa Hieu Nguyen, M.D.

  • Internal Medicine Physician
  • Irvine, CA
  • NPI 1427285394

  Hospice

  Care Compare affiliation
• Haleh Safavi

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1427210764

  Hospice

  Care Compare affiliation
• Archana C Shende, M D

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1043255938

  Hospice

  Care Compare affiliation
• Xanthe Zafra Victoria, MD

  • Family Medicine Physician
  • Bellflower, CA
  • NPI 1447270418

  Hospice

  Care Compare affiliation
• Ron H Yamane, M.D.

  • Internal Medicine Physician
  • Gardena, CA
  • NPI 1649383308

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1174156285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23720 ARLINGTON AVE STE 4B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905016100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23720 ARLINGTON AVE STE 4B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905016100",
            "telephone_number": "424-263-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1 HEART HOSPICE AND PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "BUNAL",
        "authorized_official_first_name": "CYNLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "424-263-5332"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Torrance, CA
• Providers in Torrance, 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 Feb 17, 2020; 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.