Organization Active NPI

Peace & Comfort Hospice and Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1285275974
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN B21756 · All quality measures
Ownership
For-Profit
Certified
May 6, 2021
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
05D2279644Peace & Comfort Hospice16200 Ventura Blvd, Ste 310a, Encino, CA 91436Certificate of waiverApr 4, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Joycelyn Santos Individual 5% Or Greater Direct Ownership Interest Mar 5, 2020 20%
Corporate OfficerBoard of Director Mar 5, 2020 20%
Corporate DirectorBoard of Director Mar 5, 2020 20%
Operational/Managerial ControlBoard of Director Mar 5, 2020 20%
Rosario Reyes Individual 5% Or Greater Direct Ownership Interest Mar 5, 2020 20%
Corporate OfficerSecretary Mar 5, 2020 20%
Corporate DirectorSecretary Mar 5, 2020 20%
Operational/Managerial ControlSecretary Mar 5, 2020 20%
Francis Stephen Ybanez Individual 5% Or Greater Direct Ownership Interest Mar 5, 2020 60%
Corporate OfficerCeo, Cfo Mar 5, 2020 60%
Corporate DirectorCeo, Cfo Mar 5, 2020 60%
Operational/Managerial ControlCeo, Cfo 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

Verify at the official NPI Registry.