Organization Active NPI

Carelink Hospice Inc

  • Community Based Hospice Care Agency
  • Thousand Oaks, CA
National Provider Identifier
1326329152
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CARELINK HOSPICE INC
Practice address
187 E Wilbur Rd
Suite 7
Thousand Oaks, CA 91360-5572
Phone
(805) 494-9199
Fax
(805) 494-9599
NPI assigned
Sep 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Mrs. Rosita L Lagsa, RN
Title
Ceo
Phone
(805) 494-9199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

187 E Wilbur Rd
Suite 7
Thousand Oaks, CA 91360-5572

Mailing address

187 E Wilbur Rd
Suite 7
Thousand Oaks, CA 91360-5572
Phone (805) 494-9199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110929000655 CA Part A Provider - Hospice 5496926180 Practice locations: Thousand Oaks, CA

Hospice certification: CCN 551753

Legal name
CARELINK HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 22, 2013
Last certification
Aug 1, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 11, 2011 in CA
Enrollment address
187E Wilbur Rd 7
Thousand Oaks, CA 91360-7946

Care Compare: Hospice

Medicare Care Compare
Listed as
Carelink Hospice, IncCCN 551753
Ownership
For-Profit
Certified
Aug 22, 2013
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

187 E Wilbur Rd
Ste 7
Thousand Oaks, CA 91360
Phone (805) 494-9199

187 E Wilbur Rd
#7
Thousand Oaks, CA 91360
Phone (805) 494-9199

187 E Wilbur Rd
Thousand Oaks, CA 91360
Phone (805) 494-9199

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.

NameRoleSinceShare
Rosita L. Lagsa Individual 5% Or Greater Direct Ownership Interest Aug 11, 2011 100%
Corporate OfficerCeo/Cfo Secretary Aug 11, 2011 100%
Corporate DirectorCorporate Director Aug 11, 2011 100%
W-2 Managing EmployeeAdministrator/DPCS Aug 11, 2011 100%
Operational/Managerial ControlAdministrator/Office Manager Aug 11, 2011 100%
Rosario Dolores Obedoza Razon Individual Corporate OfficerAdministrator Designee Apr 4, 2024 50%
Richard X Nguyen Individual Corporate DirectorMedical Director Apr 4, 2024 50%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1326329152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 E WILBUR RD",
            "address_2": "SUITE 7",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605572",
            "telephone_number": "805-494-9199",
            "fax_number": "805-494-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 E WILBUR RD",
            "address_2": "SUITE 7",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605572",
            "telephone_number": "805-494-9199",
            "fax_number": "805-494-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELINK HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "LAGSA",
        "authorized_official_first_name": "ROSITA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-494-9199",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.