Carechoices Hospice and Palliative Services, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550000207 Issued in CA

Legal business name

CARECHOICES HOSPICE AND PALLIATIVE SERVICES, LLC

Practice address

20 Corporate Park Ste 300
Irvine, CA 92606-5189

Phone

(949) 777-8600

Fax

(949) 777-8629

NPI assigned

May 1, 2007

Organization subpart

Yes

Parent organization

CARECHOICES NETWORK, INC.As reported in NPPES

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

Authorized official

Name

Mrs. Kim Heximer, RN

Title

Administrator

Phone

(949) 777-8600

Specialties & licenses 1

Addresses

Other names 1

• St Michael Hospice, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 551529

Legal name

CARECHOICES HOSPICE AND PALLIATIVE SERVICES, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 26, 2008

Last certification

Jun 1, 2017

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 29, 2021 in CA

Enrollment address

20 Corporate Park
Ste 300
Irvine, CA 92606-5189

Listed as

Carechoices Hospice and Palliative Services, LLCCCN 551529 · All quality measures

Ownership

For-Profit

Certified

Feb 26, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Part of

Alpha Health Care Network Inc

Locations

All disclosed owners & managing parties 8

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.

• Michael J. Farrell IV, D.O.

  • Geriatric Medicine (Internal Medicine) Physician
  • Heber City, UT
  • NPI 1619264397

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 1

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

• Carechoices Home Health Services LLC

  • Home Health Agency
  • Fullerton, CA
  • NPI 1992943161

  Carechoices Network, Inc.

  CMS ownership

Practitioners 1

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

• Tonya Lynn Reding, RN, CHPN

  • Hospice Registered Nurse
  • Irvine, CA
  • NPI 1184997413
  NPD

Affiliated clinicians 2

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

• Jun Liu, MD

  • Internal Medicine Physician
  • Irvine, CA
  • NPI 1770669319

  Hospice

  Care Compare affiliation
• Michael J. Farrell IV, D.O.

  • Geriatric Medicine (Internal Medicine) Physician
  • Heber City, UT
  • NPI 1619264397

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1316168016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CORPORATE PARK STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065189",
            "telephone_number": "949-777-8600",
            "fax_number": "949-777-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CORPORATE PARK STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065189",
            "telephone_number": "949-777-8600",
            "fax_number": "949-777-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARECHOICES HOSPICE AND PALLIATIVE SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARECHOICES NETWORK, INC.",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "HEXIMER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-777-8600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550000207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Michael Hospice, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "St Michael Hospice, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stephanie Carbajal
• Kelsey Lynn Cardon, MS, BCBA
• Care Cove LLC
• Care Planning Institute
• Careatc - Glidewellness Center
• Caremeds Pharmacy Inc
• Caremeds Pharmacy Inc
• Carerx, LLC
• Caresola Medical Services West PC
• Jacqueline Cariaga

• Community Based Hospice Care Agency in Irvine, CA
• Providers in Irvine, 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 Mar 3, 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.