Hospice Care of the Valley, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550000186 Issued in CA

Legal business name

HOSPICE CARE OF THE VALLEY, INC

Practice address

1176 Roadrunner Way
Simi Valley, CA 93065-3158

Phone

(805) 520-7055

Fax

(805) 520-3955

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Dimaguila

Title

Ceo

Phone

(805) 520-7055

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 551503

Legal name

HOSPICE CARE OF THE VALLEY, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 13, 2007

Last certification

Aug 16, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 28, 2004 in CA

Enrollment address

1176 Roadrunner Way
Simi Valley, CA 93065-3158

Listed as

Hospice Care of the Valley IncCCN 551503

Ownership

For-Profit

Certified

Apr 13, 2007

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Joel David Clarfield, M.D.

  • Internal Medicine Physician
  • Mission Hills, CA
  • NPI 1700941788

  Hospice

  Care Compare affiliation
• Siamak P Etehad, MD

  • Internal Medicine Physician
  • Northridge, CA
  • NPI 1184728479

  Hospice

  Care Compare affiliation
• Shehnaz N Habib, M.D.

  • Internal Medicine Physician
  • Panorama City, CA
  • NPI 1215039631

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1295951622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 ROADRUNNER WAY",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653158",
            "telephone_number": "805-520-7055",
            "fax_number": "805-520-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 ROADRUNNER WAY",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653158",
            "telephone_number": "805-520-7055",
            "fax_number": "805-520-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE CARE OF THE VALLEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "DIMAGUILA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-520-7055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550000186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC51503F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yoonjung Hong, DDS
• Farrah Michelle Hooshmand
• Horizon Health Care Systems, Inc.
• Hoseah Hospice & Palliative Care Inc
• Hospice and Home Care, Inc
• Hospice Choice Care, Inc.
• Hospice of St. Mary Inc.
• Hospitality Hospice Care Inc
• Chloie Bunye Howe
• Anthony John Hoyle, R.PH.

• All providers in Simi Valley, CA
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.