Organization Active NPI

Helping Hands Hospice & Palliative Care LLC

Doing business as Helping Hands Hospice LLC

  • Community Based Hospice Care Agency
  • Blythe, CA
National Provider Identifier
1184298804
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HELPING HANDS HOSPICE & PALLIATIVE CARE LLC
Doing business as
Helping Hands Hospice LLC
Practice address
141 W Hobsonway
Blythe, CA 92225-1616
Phone
(760) 278-9700
NPI assigned
May 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Mr. Val Irlanda
Title
Compliance Officer
Phone
(760) 278-9700

Specialties & licenses 1

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

Addresses

Primary practice location

141 W Hobsonway
Blythe, CA 92225-1616

Mailing address

141 W Hobsonway
Blythe, CA 92225-1616
Phone (760) 278-9700

Other names 1

  • Helping Hands Hospice LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211216002229 CA Part A Provider - Hospice 6406252766 Practice locations: Blythe, CA

Hospice certification: CCN B51718

Legal name
HELPING HANDS HOSPICE & PALLIATIVE CARE, LLC
Doing business as
HELPING HANDS HOSPICE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 26, 2023
Last certification
May 18, 2023
Organization structure
LLCProprietary
Incorporated
Jan 28, 2021 in CA
Enrollment address
141 W Hobsonway
Blythe, CA 92225-1616

Care Compare: Hospice

Medicare Care Compare
Listed as
Helping Hands Hospice LLCCCN B51718 · All quality measures
Certified
May 26, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2283430Helping Hands Hospice141 W Hobsonway, Blythe, CA 92225Certificate of waiverJun 6, 2027

National Provider Directory

National Provider Directory

Locations

141 W Hobsonway
Blythe, CA 92225
Phone (760) 278-9700

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Kenneth G Lucero Individual W-2 Managing EmployeeMD; Dec 6, 2022
Elsa H Irlanda Individual 5% Or Greater Direct Ownership InterestOwner Dec 14, 2021 100%
Corporate OfficerOwner-Administrator Dec 14, 2021 100%
Corporate DirectorOwner-Administrator Dec 14, 2021 100%
W-2 Managing EmployeeAdministrator Dec 14, 2021 100%

Owners & managing parties with NPI records 1

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

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": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1184298804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W HOBSONWAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251616",
            "telephone_number": "760-278-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 W HOBSONWAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251616",
            "telephone_number": "760-278-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELPING HANDS HOSPICE & PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "IRLANDA",
        "authorized_official_first_name": "VAL",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "760-278-9700",
        "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": [
        {
            "organization_name": "Helping Hands Hospice LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blythe, CA

Sources for this page

Verify at the official NPI Registry.