Allied Hospice Care,Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ALLIED HOSPICE CARE,INC.

Practice address

21757 Devonshire St Ste 12
Chatsworth, CA 91311-2960

Phone

(818) 280-5331

Fax

(818) 280-5339

NPI assigned

Jun 26, 2019

Last updated

Jun 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lord Yaun

Title

Ceo

Phone

(818) 280-5331

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225699697. Details of each certification follow.

• CCN B21696 Hospice · Active · Details

Hospice certification: CCN B21696

Legal name

ALLIED HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 9, 2021

Last certification

Jan 9, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 9, 2019 in CA

Enrollment address

21757 Devonshire St
Ste 12
Chatsworth, CA 91311-2960

Listed as

Allied Hospice Care, IncCCN B21696 · All quality measures

Ownership

For-Profit

Certified

Jan 9, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1225699697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21757 DEVONSHIRE ST STE 12",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112960",
            "telephone_number": "818-280-5331",
            "fax_number": "818-280-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21757 DEVONSHIRE ST STE 12",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112960",
            "telephone_number": "818-280-5331",
            "fax_number": "818-280-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED HOSPICE CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "YAUN",
        "authorized_official_first_name": "LORD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-280-5331",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.