Sacred Heart Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550000479 Issued in CA

Legal business name

SACRED HEART HOSPICE INC

Practice address

2025 Chicago Ave
Ste A30
Riverside, CA 92507-2314

Phone

(951) 682-7022

Fax

(951) 682-7122

NPI assigned

Feb 20, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Marcella D Murillo, RN

Title

Administrator

Phone

(951) 681-7022

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 551603

Legal name

SACRED HEART HOSPICE INC.

Doing business as

SACRED HEART HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 21, 2010

Last certification

Jun 27, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 3, 2008 in CA

Enrollment address

1935 Chicago Ave
Ste C
Riverside, CA 92507-2368

Listed as

Sacred Heart HospiceCCN 551603

Ownership

For-Profit

Certified

May 21, 2010

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 1

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

• Lydia Esther Villanueva, M.D.

  • Internal Medicine Physician
  • Fontana, CA
  • NPI 1972563765

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1326288028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 CHICAGO AVE STE C",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072368",
            "telephone_number": "951-682-7022",
            "fax_number": "951-682-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 CHICAGO AVE",
            "address_2": "STE A30",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072314",
            "telephone_number": "951-682-7022",
            "fax_number": "951-682-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "MURILLO",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-681-7022",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550000479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326288028",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Percy Sacayon
• Jason James Sacdalan, MD
• Belen Sachs, PA-C
• Catherine Jean Sackett, LVN
• Hayden Sackewitz
• Isaac Johny Sada
• Shewa Sadat
• Ramy Bahgat Ramzi Sadek, MD
• Brittany Ruth Sadoma, MD
• David I Saed, DDS

• Community Based Hospice Care Agency in Riverside, CA
• Providers in Riverside, 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 Apr 19, 2023; 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.