Apreva Corporation

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

APREVA CORPORATION

Doing business as

Apreva Hospice

Practice address

3333 Camino del Rio S Ste 400
San Diego, CA 92108-3839

Phone

(619) 450-4414

Fax

(619) 450-4409

NPI assigned

May 30, 2008

Last updated

Sep 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay Koeper

Title

Secretary

Phone

(970) 828-2210

Specialties & licenses 1

Addresses

Other names 1

• Apreva Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306004957. Details of each certification follow.

• CCN 551557 Hospice · Active · Details

Hospice certification: CCN 551557

Legal name

APREVA CORPORATION

Doing business as

APREVA HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 2, 2009

Last certification

Aug 24, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Mar 4, 2008 in CA

Enrollment address

3333 Camino del Rio S
Ste 400
San Diego, CA 92108-3839

Listed as

Apreva HospiceCCN 551557 · All quality measures

Ownership

For-Profit

Certified

Sep 2, 2009

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Walgreen Co

  dba Walgreens #11431

  • Pharmacy
  • Camuy, PR
  • NPI 1043614902

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Daniel Harrison, M.D

  • Internal Medicine Physician
  • Escondido, CA
  • NPI 1629098884

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 151

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Abilishealth Brownsville, LLC

  dba Adoration Home Health Brownsville

  • Home Health Agency
  • Brownsville, TN
  • NPI 1639659675

  Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreens Holding Company

  CMS ownership
• Abilishealth Knoxville, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Knoxville, TN
  • NPI 1255811295

  Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc

  CMS ownership
• Abilishealth Martin, LLC

  dba Adoration Home Health Martin

  • Home Health Agency
  • Martin, TN
  • NPI 1093295040

  Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company

  CMS ownership
• Abilishealth McMinnville, LLC

  dba Adoration Home Health McMinnville

  • Home Health Agency
  • McMinnville, TN
  • NPI 1275013229

  Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company

  CMS ownership
• Abilishealth Nashville, LLC

  dba Adoration Home Health Nashville South

  • Home Health Agency
  • Brentwood, TN
  • NPI 1346720398

  Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Walgreen Co, Walgreens Holding Company

  CMS ownership
• Abode Healthcare Colorado, Inc

  dba Abode Hospice of Colorado

  • Community Based Hospice Care Agency
  • Colorado Springs, CO
  • NPI 1326459025

  Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C

  CMS ownership
• Abode Healthcare Colorado, Inc

  dba Abode Hospice of Pueblo

  • Community Based Hospice Care Agency
  • Pueblo, CO
  • NPI 1861097982

  Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C

  CMS ownership
• Abode Healthcare Colorado, Inc.

  dba Abode Hospice of Colorado

  • Community Based Hospice Care Agency
  • Lakewood, CO
  • NPI 1427469113

  Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C

  CMS ownership
• Abode Healthcare Colorado, Inc.

  dba Abode Hospice of Colorado

  • Community Based Hospice Care Agency
  • Grand Junction, CO
  • NPI 1447611512

  Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C

  CMS ownership
• Abode Hospice and Homecare of MN, LLC

  dba Hospice of the Midwest

  • Community Based Hospice Care Agency
  • Woodbury, MN
  • NPI 1538552757

  Abode Healthcare, Inc., Brightspring Health Holdings Corp, Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding C

  CMS ownership
• Abode Hospice of Florida, LLC

  dba Haven Hospice

  • Community Based Hospice Care Agency
  • Gainesville, FL
  • NPI 1154162857

  Abode Healthcare, Inc., Brightspring Health Services Inc, KKR Americas Fund XII LP, KKR Phoenix Aggregator L.P., Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc, Silverton Abode Holding Corporation, Silverton Abode, LLC

  CMS ownership
• Accumed Health Services, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Greenville, AL
  • NPI 1104870286

  Brightspring Health Services Inc, Phoenix Guarantor Inc., Phoenix Intermediate Holdings Inc., Res-Care Inc

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Tagum Samson, MSN, FNP-C

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1669060992
  NPD
• Tanya Lee Covert, NP

  • Nurse Practitioner
  • San Diego, CA
  • NPI 1275814006
  NPD (past)
• Amaris Garcia, LCSW

  • Clinical Social Worker
  • Chula Vista, CA
  • NPI 1730963448
  NPD (past)

Affiliated clinicians 7

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

• Farschad K Birdjandi, M.D.

  • Internal Medicine Physician
  • Chula Vista, CA
  • NPI 1205823929

  Hospice

  Care Compare affiliation
• Nittly Singh Chahal, M.D.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1164682480

  Hospice

  Care Compare affiliation
• Flora Ishihara Danque, M.D.

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1013927425

  Hospice

  Care Compare affiliation
• Mary C Gessner-Peterson, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Alpine, CA
  • NPI 1861662884

  Hospice

  Care Compare affiliation
• Daniel Harrison, M.D

  • Internal Medicine Physician
  • Escondido, CA
  • NPI 1629098884

  Hospice

  Care Compare affiliation
• Kamron Mirkarimi, M.D.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1497914725

  Hospice

  Care Compare affiliation
• Katherine Allison Norris, M.D.

  • General Practice Physician
  • San Diego, CA
  • NPI 1356578769

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1306004957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CAMINO DEL RIO S STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083839",
            "telephone_number": "619-450-4414",
            "fax_number": "619-450-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CAMINO DEL RIO S STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083839",
            "telephone_number": "619-450-4414",
            "fax_number": "619-450-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APREVA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "KOEPER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "970-828-2210"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apreva Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apreva Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Applied Interventions & Methodologies, Inc.
• Applied Proteomics, Inc.
• Applied Psychology Systems, L.L.C.
• Malia Appling, RDN
• Merveen Appu, M.D.
• Apria Healthcare LLC
• Apria Healthcare, Inc.
• April Hinrichsen LMFT Apc
• Samaa Sami Aqrawi
• Aquatic Orthopedic Rehab

• Community Based Hospice Care Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.