Glowing Smile Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GLOWING SMILE HOSPICE

Practice address

104 W Beverly Blvd Ste a
Montebello, CA 90640-4305

Phone

(747) 257-0030

Fax

(747) 257-0031

NPI assigned

Jul 12, 2020

Organization subpart

No

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

Authorized official

Name

Clarissa Embeth Dones

Title

Ceo

Phone

(747) 257-0030

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51758

Legal name

GLOWING SMILE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 16, 2023

Last certification

Aug 30, 2023

Organization structure

CorporationProprietary

Incorporated

Jun 18, 2020 in CA

Enrollment address

104 W Beverly Blvd
Ste a
Montebello, CA 90640

Listed as

Glowing Smile HospiceCCN B51758

Certified

Oct 16, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 5

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.

• Michael J Soffer, M.D.

  • Specialist
  • Beverly Hills, CA
  • NPI 1629181862

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1594512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1245858646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W BEVERLY BLVD STE A",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404305",
            "telephone_number": "747-257-0030",
            "fax_number": "747-257-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W BEVERLY BLVD STE A",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404305",
            "telephone_number": "747-257-0030",
            "fax_number": "747-257-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOWING SMILE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-12",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "DONES",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_middle_name": "EMBETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-257-0030"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "14545 Friar St Ste 205K",
            "city": "Van Nuys",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914112398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• George Caballero, LCSW Inc
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• Rachel Gioja, RN
• Leonid Glosman, DDS
• Katherine Angela Gochingco, FNP-C
• Golden Arches Podiatry, Inc.
• Golden Heart Nemt Transportation LLC
• Golden Manor Retirement Center
• Maria Susana Espino Gonzales

• Community Based Hospice Care Agency in Montebello, CA
• Providers in Montebello, 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 Sep 3, 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.