Steward Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

STEWARD HOSPICE CARE INC

Practice address

16446 Woodruff Ave Ste C
Bellflower, CA 90706-4975

Phone

(562) 291-2052

Fax

(562) 291-2087

NPI assigned

Apr 4, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Kyung (Daniel) Sik Suh

Title

President

Phone

(213) 675-3006

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 751545

Legal name

STEWARD HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 29, 2014

Last certification

May 20, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 14, 2010 in CA

Enrollment address

16446 Woodruff Ave
Ste C
Bellflower, CA 90706-4975

Listed as

Steward Hospice Care IncCCN 751545

Ownership

For-Profit

Certified

Apr 29, 2014

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.

Owners & managing parties with NPI records 1

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

• Hung M Nguyen, D.O.

  • Family Medicine Physician
  • Orange, CA
  • NPI 1447284526

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Victoria Dao Pham, DO

  • Family Medicine Physician
  • Fountain Valley, CA
  • NPI 1700089935

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1346539012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16446 WOODRUFF AVE STE C",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064975",
            "telephone_number": "562-291-2052",
            "fax_number": "562-291-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16446 WOODRUFF AVE STE C",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064975",
            "telephone_number": "562-291-2052",
            "fax_number": "562-291-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWARD HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "KYUNG (DANIEL)",
        "authorized_official_middle_name": "SIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-675-3006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "550002463",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346539012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CCN",
            "identifier": "751545",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonja Michelle Starks, OTRL
• Bradley E. Steele, MD
• Stephen J McColgan MD
• Steward Cca Inc
• Steward Home Health Agency Inc
• Sandra Sticco, CRNA
• Craig J. Stimpson, MD
• Robert C Street, MFT
• Barbara Styzens, LCSW
• Angela Su, PHARM.D.

• Community Based Hospice Care Agency in Bellflower, CA
• Providers in Bellflower, 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 Feb 17, 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.