Abl Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ABL HOSPICE LLC

Practice address

6150 Mission St Ste 103
Daly City, CA 94014-2063

Phone

(415) 562-8552

Fax

(650) 479-8113

NPI assigned

Jul 29, 2021

Organization subpart

No

Name

Max Yagudaev

Title

Ceo

Phone

(415) 562-8552

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

• Sonia Jhurani, M.D.

  • Internal Medicine Physician
  • Sacramento, CA
  • NPI 1215279526

  W-2 Managing Employee

  CMS ownership

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

• Sonia Jhurani, M.D.

  • Internal Medicine Physician
  • Sacramento, CA
  • NPI 1215279526

  Hospice

  Care Compare affiliation
• Thearith Seng, M.D.

  • Family Medicine Physician
  • Walnut Creek, CA
  • NPI 1962797522

  Hospice

  Care Compare affiliation
• Kevin D Stuart, MD

  • Gastroenterology Physician
  • Gilroy, CA
  • NPI 1912966185

  Hospice

  Care Compare affiliation

Listed as

Abl Hospice LLCCCN D61527

Certified

May 28, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Medicare fee-for-service enrollment

Enrolled in CA

Legal name

ABL HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 28, 2024

Last certification

May 17, 2024

Organization structure

LLCProprietary

Incorporated

Jul 27, 2021 in CA

Enrollment address

6150 Mission St
Ste 103
Daly City, CA 94014-2063

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 5, 2024.

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1194498667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BAYSHORE HWY STE 258",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101514",
            "telephone_number": "415-562-8552",
            "fax_number": "650-479-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 MISSION ST STE 103",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142063",
            "telephone_number": "415-562-8552",
            "fax_number": "650-479-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABL HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "YAGUDAEV",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-562-8552"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Amin Abdul-Rahim
• Sayyida Shakoor Abdus-Salaam, M.D.
• Stephen Israel Abedon, M.D.
• Bernadette Candy Canga Abellana
• Delia Payot Aberia
• Mandana Abollhassani
• Mazin Abuzahriyeh
• Aurora Guevarra Academia, NURSE PRACTITIONER
• Ace Acupuncture Clinic LLC
• Active Medical Group of Northern Ca a Proffesional Corporation

• All providers in Daly City, 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 Jan 5, 2024; 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.