Creative Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CREATIVE HOSPICE CARE INC

Practice address

430 S Garfield Ave Ste 300
Alhambra, CA 91801-3876

Phone

(213) 758-8880

Fax

(213) 758-8882

NPI assigned

Nov 26, 2019

Organization subpart

No

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

Authorized official

Name

Robert Deville II

Title

President

Phone

(760) 643-6250

Specialties & licenses 1

Addresses

Other names 1

• Calstro Hospice Los Angeles Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A11610

Legal name

CREATIVE HOSPICE CARE INC

Doing business as

CALSTRO HOSPICE LOS ANGELES INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 1, 2020

Last certification

Dec 1, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

430 S Garfield Ave
Ste 300
Alhambra, CA 91801-3876

Listed as

Calstro Hospice Los AngelesCCN A11610

Ownership

For-Profit

Certified

Dec 1, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 8

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.

• Marina E Manvelyan, MD

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1215925409

  Contracted Managing Employee

  CMS ownership
• Amarish D Pradhan, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1427180496

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 3

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

• Mahmoud Youssef Abdallah, DO

  • Pulmonary Disease Physician
  • Garden Grove, CA
  • NPI 1871014027

  Hospice

  Care Compare affiliation
• Joey Asfahan, MD

  • Family Medicine Physician
  • Orange, CA
  • NPI 1639706211

  Hospice

  Care Compare affiliation
• Marina E Manvelyan, MD

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1215925409

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1194361964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S GARFIELD AVE STE 300",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013876",
            "telephone_number": "213-758-8880",
            "fax_number": "213-758-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S GARFIELD AVE STE 300",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013876",
            "telephone_number": "213-758-8880",
            "fax_number": "213-758-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "DEVILLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-643-6250",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calstro Hospice Los Angeles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juan Cossio
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Amber Nicole Covarrubias
• Jennifer Crosdale, MS, RD
• Lisa C Cross
• Alejandra Rios Cruz, MSW, LCSW
• Brianna Elena Cruz, BEHAVIOR TECHNICIAN
• Daniel N/a Cruz

• All providers in Alhambra, CA
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.