Organization Active NPI

Healthflex Hospice

  • Community Based Hospice Care Agency
  • Oakland, CA
National Provider Identifier
1295277192
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HEALTHFLEX HOSPICE
Practice address
303 Hegenberger Rd Ste 388
Oakland, CA 94621-1419
Phone
(510) 553-1900
NPI assigned
Nov 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Alexander Koshevatsky
Title
Ceo
Phone
(510) 553-1900

Specialties & licenses 1

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

Addresses

Primary practice location

303 Hegenberger Rd Ste 388
Oakland, CA 94621-1419

Mailing address

7677 Oakport St Ste 920
Oakland, CA 94621-1929
Phone (650) 825-2802

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180627000177 CA Part A Provider - Hospice 2365797750 Practice locations: Oakland, CA

Hospice certification: CCN A01646

Legal name
HEALTHFLEX HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 13, 2019
Last certification
Jun 3, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 25, 2016 in CA
Enrollment address
7677 Oakport St
Ste 920
Oakland, CA 94621-1929

Care Compare: Hospice

Medicare Care Compare
Listed as
Healthflex HospiceCCN A01646
Ownership
For-Profit
Certified
Jun 13, 2019
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

7677 Oakport St
Ste 920
Oakland, CA 94621
Phone (650) 825-2802

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
Alexander V Koshevatsky Individual 5% Or Greater Direct Ownership InterestOwner Aug 25, 2016 50%
Irene a Gertsikov Individual 5% Or Greater Direct Ownership InterestOwner Aug 25, 2016 50%
W-2 Managing EmployeeAdministrator Aug 25, 2016 50%
Tyrone E Snipes Individual Contracted Managing EmployeeMD; Oct 1, 2018

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1295277192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7677 OAKPORT ST STE 920",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946211929",
            "telephone_number": "650-825-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 HEGENBERGER RD STE 388",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946211419",
            "telephone_number": "510-553-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHFLEX HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "KOSHEVATSKY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-553-1900"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.