Active NPI
Morning Star Palliative & Hospice Inc.
- Community Based Hospice Care Agency
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Ownership
- For-Profit
- Certified
- Apr 1, 2014
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2058793 | Morning Star Palliative & Hospice Inc | Certificate of waiver | May 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Efren G Lucena | 5% Or Greater Direct Ownership Interest | Mar 9, 2017 | 50% |
| Vincent Paul Talento Manez | W-2 Managing Employee | Nov 1, 2024 | 100% |
| Operational/Managerial Control | Nov 1, 2024 | 100% | |
| Claudia D Lucena | 5% Or Greater Direct Ownership Interest | Aug 8, 2012 | 50% |
| Corporate Officer | Aug 8, 2012 | 100% | |
| Corporate Director | Aug 8, 2012 | 100% | |
| Ernest Jansen Dalusong | Corporate Officer | Oct 17, 2024 | 100% |
| Corporate Director | Oct 17, 2024 | 100% | |
| W-2 Managing Employee | Oct 17, 2024 | 100% | |
| Operational/Managerial Control | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.