Active NPI
Peace & Comfort Hospice and Palliative Care, Inc.
- Community Based Hospice Care Agency
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PEACE & COMFORT HOSPICE AND PALLIATIVE CARE, INC.
- Practice address
- 6320 Van Nuys Blvd Ste 302
Van Nuys, CA 91401-2617 - Phone
- (818) 528-6373
- NPI assigned
- Oct 3, 2019
- Last updated
- Apr 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosario D Reyes
- Title
- Ceo
- Phone
- (818) 528-6373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
6320 Van Nuys Blvd Ste 302
Van Nuys, CA 91401-2617
Mailing address
6320 Van Nuys Blvd Ste 302
Van Nuys, CA 91401-2617
Phone (818) 528-6373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200512002469 | CA | Part A Provider - Hospice | 6305277146 | Practice locations: Encino, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1285275974. Details of each certification follow.
Hospice certification: CCN B21756
- Legal name
- PEACE & COMFORT HOSPICE AND PALLIATIVE CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 6, 2021
- Last certification
- May 6, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Sep 6, 2019 in CA
- Enrollment address
- 16200 Ventura Blvd
Ste 310a
Encino, CA 91436-4929
Care Compare: Hospice
Medicare Care Compare- Listed as
- Peace & Comfort Hospice and Palliative Care, Inc
- Ownership
- For-Profit
- Certified
- May 6, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2279644 | Peace & Comfort Hospice | Certificate of waiver | Apr 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
16200 Ventura Blvd
Ste 310A
Encino, CA 91436
Phone (626) 357-1300
6320 Van Nuys Blvd
Ste 302
Van Nuys, CA 91401
Phone (818) 528-6373
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Joycelyn Santos | 5% Or Greater Direct Ownership Interest | Mar 5, 2020 | 20% |
| Corporate Officer | Mar 5, 2020 | 20% | |
| Corporate Director | Mar 5, 2020 | 20% | |
| Operational/Managerial Control | Mar 5, 2020 | 20% | |
| Rosario Reyes | 5% Or Greater Direct Ownership Interest | Mar 5, 2020 | 20% |
| Corporate Officer | Mar 5, 2020 | 20% | |
| Corporate Director | Mar 5, 2020 | 20% | |
| Operational/Managerial Control | Mar 5, 2020 | 20% | |
| Francis Stephen Ybanez | 5% Or Greater Direct Ownership Interest | Mar 5, 2020 | 60% |
| Corporate Officer | Mar 5, 2020 | 60% | |
| Corporate Director | Mar 5, 2020 | 60% | |
| Operational/Managerial Control | Mar 5, 2020 | 60% |
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": "1570060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650585600000",
"number": "1285275974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6320 VAN NUYS BLVD STE 302",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914012617",
"telephone_number": "818-528-6373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320 VAN NUYS BLVD STE 302",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914012617",
"telephone_number": "818-528-6373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACE & COMFORT HOSPICE AND PALLIATIVE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-03",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "ROSARIO",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-528-6373"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.