Active NPI
Carelink Hospice Inc
- Community Based Hospice Care Agency
- Thousand Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- For-Profit
- Certified
- Aug 22, 2013
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Rosita L. Lagsa | 5% Or Greater Direct Ownership Interest | Aug 11, 2011 | 100% |
| Corporate Officer | Aug 11, 2011 | 100% | |
| Corporate Director | Aug 11, 2011 | 100% | |
| W-2 Managing Employee | Aug 11, 2011 | 100% | |
| Operational/Managerial Control | Aug 11, 2011 | 100% | |
| Rosario Dolores Obedoza Razon | Corporate Officer | Apr 4, 2024 | 50% |
| Richard X Nguyen | Corporate 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.
-
- Internal Medicine Physician
- Oxnard, CA
- NPI 1699960708
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.