Organization Active NPI

Global Home Hospice Service, Incorporated

  • Community Based Hospice Care Agency
  • San Dimas, CA
National Provider Identifier
1265858625
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GLOBAL HOME HOSPICE SERVICE, INCORPORATED
Practice address
221 N San Dimas Ave Ste a
San Dimas, CA 91773-2664
Phone
(626) 699-2426
Fax
(626) 699-2431
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Darla Drendel
Title
Ceo
Phone
(626) 699-2426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

221 N San Dimas Ave Ste a
San Dimas, CA 91773-2664

Mailing address

221 N San Dimas Ave Ste a
San Dimas, CA 91773-2664
Phone (626) 699-2426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161021001627 CA Part A Provider - Hospice 1951689140 Practice locations: San Dimas, CA

Hospice certification: CCN 921637

Legal name
GLOBAL HOME HOSPICE SERVICE INCORPORATED
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 19, 2017
Last certification
Jun 24, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 27, 2014 in CA
Enrollment address
221 N San Dimas Ave
Ste a
San Dimas, CA 91773-2664

Care Compare: Hospice

Medicare Care Compare
Listed as
Global Home Hospice Service, IncorporatedCCN 921637 · All quality measures
Ownership
For-Profit
Certified
May 19, 2017
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2109045Global Home Hospice Service Inc221 N San Dimas Ave Ste a, San Dimas, CA 91773Certificate of waiverFeb 17, 2028

National Provider Directory

National Provider Directory

Locations

529 N Curtis Ave
Covina, CA 91723
Phone (626) 699-2426

221 N San Dimas Ave
Ste A
San Dimas, CA 91773
Phone (626) 699-2426

Ownership & related parties

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.

NameRoleSinceShare
John K Liu Individual Contracted Managing EmployeeMD; Oct 18, 2016
Darla Drendel Individual 5% Or Greater Direct Ownership InterestOwner Aug 31, 2018 95%
Corporate OfficerCeo/President Feb 9, 2017
Corporate DirectorCeo/President Feb 9, 2017
W-2 Managing EmployeeCeo/President Feb 9, 2017
Soo Kim Individual W-2 Managing EmployeeAd; Mar 15, 2021
Operational/Managerial ControlDirector of Patient Care Service Mar 15, 2021
Dawn Abeles Individual 5% Or Greater Direct Ownership InterestOwner Feb 21, 2017 5%
Corporate Officer Feb 9, 2017 5%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1265858625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N SAN DIMAS AVE STE A",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732664",
            "telephone_number": "626-699-2426",
            "fax_number": "626-699-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N SAN DIMAS AVE STE A",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732664",
            "telephone_number": "626-699-2426",
            "fax_number": "626-699-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL HOME HOSPICE SERVICE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "DRENDEL",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-699-2426"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

Verify at the official NPI Registry.