Active NPI
Healthflex Hospice
- Community Based Hospice Care Agency
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Hospice
- Ownership
- For-Profit
- Certified
- Jun 13, 2019
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Alexander V Koshevatsky | 5% Or Greater Direct Ownership Interest | Aug 25, 2016 | 50% |
| Irene a Gertsikov | 5% Or Greater Direct Ownership Interest | Aug 25, 2016 | 50% |
| W-2 Managing Employee | Aug 25, 2016 | 50% | |
| Tyrone E Snipes | Contracted Managing Employee | 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.
-
- Internal Medicine Physician
- San Leandro, CA
- NPI 1861627457
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- San Leandro, CA
- NPI 1861627457
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.