Santa Barbara Hospice and Palliative Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SANTA BARBARA HOSPICE AND PALLIATIVE CARE INC

Practice address

3892 State St Ste 210
Santa Barbara, CA 93105-3185

Phone

(888) 415-4159

NPI assigned

Jul 14, 2020

Organization subpart

No

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

Authorized official

Name

Hrachya Kaloyan

Title

Ceo

Phone

(888) 415-4159

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B21574

Legal name

SANTA BARBARA HOSPICE AND PALLIATIVE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 4, 2021

Last certification

Jun 4, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 3, 2020 in CA

Enrollment address

3892 State St
Ste 210
Santa Barbara, CA 93105-3185

Listed as

Santa Barbara Hospice and Palliative Care IncCCN B21574

Ownership

For-Profit

Certified

Jun 4, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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 1

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

• Garry Forkosh, M.D.

  • Internal Medicine Physician
  • Newbury Park, CA
  • NPI 1750519385

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Garry Forkosh, M.D.

  • Internal Medicine Physician
  • Newbury Park, CA
  • NPI 1750519385

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1215545488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3892 STATE ST STE 210",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053185",
            "telephone_number": "888-415-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3892 STATE ST STE 210",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053185",
            "telephone_number": "888-415-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA BARBARA HOSPICE AND PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "KALOYAN",
        "authorized_official_first_name": "HRACHYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-415-4159"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santa Barbara Healthcare LLC
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• Santa Barbara Holistic Health Ctr Acupuncture & Chiropractic Inc.
• Santa Barbara Home Health
• Santa Barbara Home Health Inc.
• Santa Barbara Hospital Internists
• Santa Barbara Hospital Medicine
• Santa Barbara Internal Medicine Group a Medical Corporation
• Santa Barbara Neighborhood Clinics
• Santa Barbara Neighborhood Clinics

• Community Based Hospice Care Agency in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.