NPIMap

Organization Active NPI

Cherishaven Healthcare LLC

  • Community Based Hospice Care Agency
  • Alameda, CA
National Provider Identifier
1285265728
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CHERISHAVEN HEALTHCARE LLC
Doing business as
Cherishaven Hospice
Practice address
2363 Mariner Square Dr Ste 146
Alameda, CA 94501-6400
Phone
(510) 388-0073
NPI assigned
Feb 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Mr. David Lingan
Title
Ceo
Phone
(510) 388-0073

Specialties & licenses 1

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

Addresses

Primary practice location

2363 Mariner Square Dr Ste 146
Alameda, CA 94501-6400

Mailing address

2363 Mariner Square Dr Ste 146
Alameda, CA 94501-6400
Phone (510) 388-0073

Other names 1

  • Cherishaven Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210623003591 CA Part A Provider - Hospice 8325457088 Practice locations: Alameda, CA

Hospice certification: CCN B51606

Legal name
CHERISHAVEN HEALTHCARE LLC
Doing business as
CHERISHAVEN HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 17, 2023
Last certification
Dec 29, 2022
Organization structure
LLCProprietary
Incorporated
Jan 2, 2020 in CA
Enrollment address
2363 Mariner Square Dr
Ste 146
Alameda, CA 94501-6400

Care Compare: Hospice

Medicare Care Compare
Listed as
Cherishaven HospiceCCN B51606
Certified
Jan 17, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1516 Oak St
Ste 107
Alameda, CA 94501

2363 Mariner Square Dr
Ste 146
Alameda, CA 94501
Phone (510) 388-0073

Ownership & related parties

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.

NameRoleSinceShare
Joemercy Y Lingan Individual Corporate DirectorDirector of Patient Care Service Apr 1, 2021 50%
W-2 Managing EmployeeDirector of Patient Care Service Jun 1, 2021 50%
Christopher Y Lingan Individual 5% Or Greater Direct Ownership Interest Jan 2, 2020 50%
Corporate OfficerB0Ard Member, Chief Financial of Jan 2, 2020 50%
David Y Lingan Individual 5% Or Greater Direct Ownership Interest Jan 2, 2020 50%
Corporate OfficerCeo, Board Member, Administrator Jan 2, 2020 50%
Operational/Managerial ControlCeo, Board Member, Administrator Jan 2, 2020 100%

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": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1285265728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 MARINER SQUARE DR STE 146",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016400",
            "telephone_number": "510-388-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 MARINER SQUARE DR STE 146",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016400",
            "telephone_number": "510-388-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERISHAVEN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "LINGAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-388-0073",
        "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": [
        {
            "organization_name": "Cherishaven Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cherishaven Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.