Organization Active NPI

Morning Star Palliative & Hospice Inc.

  • Community Based Hospice Care Agency
  • Riverside, CA
National Provider Identifier
1184978124
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MORNING STAR PALLIATIVE & HOSPICE INC.
Practice address
11651 Sterling Ave Ste I
Riverside, CA 92503-4933
Phone
(951) 351-9906
Fax
(951) 351-9905
NPI assigned
Oct 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Ms. Jennifer Nunez, ACCOUNTANT
Title
Cfo
Phone
(951) 351-9906

Specialties & licenses 1

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

Addresses

Primary practice location

11651 Sterling Ave Ste I
Riverside, CA 92503-4933

Mailing address

11651 Sterling Ave Ste I
Riverside, CA 92503-4933
Phone (951) 351-9906

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130328000382 CA Part A Provider - Hospice 7416192166 Practice locations: Riverside, CA

Hospice certification: CCN 751511

Legal name
MORNING STAR PALLIATIVE & HOSPICE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 1, 2014
Last certification
Oct 16, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jul 26, 2012 in CA
Enrollment address
11651 Sterling Ave
Ste 1
Riverside, CA 92503-4933

Care Compare: Hospice

Medicare Care Compare
Listed as
Morning Star Palliative & Hospice Inc.CCN 751511
Ownership
For-Profit
Certified
Apr 1, 2014
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
05D2058793Morning Star Palliative & Hospice Inc11651 Sterling Ave Ste I, Riverside, CA 92503Certificate of waiverMay 12, 2027

National Provider Directory

National Provider Directory

Locations

11651 Sterling Ave
Ste I
Riverside, CA 92503
Phone (951) 351-9906

11651 Sterling Ave
Ste 1
Riverside, CA 92503
Phone (951) 351-9905

Ownership & related parties

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.

NameRoleSinceShare
Efren G Lucena Individual 5% Or Greater Direct Ownership InterestManagerial Mar 9, 2017 50%
Vincent Paul Talento Manez Individual W-2 Managing EmployeeAd;DPCS Nov 1, 2024 100%
Operational/Managerial Control Nov 1, 2024 100%
Claudia D Lucena Individual 5% Or Greater Direct Ownership Interest Aug 8, 2012 50%
Corporate OfficerCeo Aug 8, 2012 100%
Corporate DirectorCeo Aug 8, 2012 100%
Ernest Jansen Dalusong Individual Corporate OfficerCeo/Cfo/Secretary/Director Oct 17, 2024 100%
Corporate Director Oct 17, 2024 100%
W-2 Managing EmployeeOffice Manager/HR Director Oct 17, 2024 100%
Operational/Managerial ControlOffice Manager/HR Director Oct 17, 2024 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1184978124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11651 STERLING AVE STE I",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034933",
            "telephone_number": "951-351-9906",
            "fax_number": "951-351-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11651 STERLING AVE STE I",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034933",
            "telephone_number": "951-351-9906",
            "fax_number": "951-351-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNING STAR PALLIATIVE & HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "951-351-9906",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ACCOUNTANT"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.