Active NPI
Alleviate Care-Apple Valley LLC
Doing business as Inland Valley Hospice Care
- Community Based Hospice Care Agency
- Apple Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ALLEVIATE CARE-APPLE VALLEY LLC
- Doing business as
- Inland Valley Hospice Care
- Practice address
- 19167 US Highway 18 Ste 6
Apple Valley, CA 92307-2561 - Phone
- (760) 243-2501
- NPI assigned
- Jun 7, 2022
- Last updated
- Aug 22, 2022
- 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
- Jan Jones
- Title
- Parent Chief Executive Officer
- Phone
- (760) 243-2501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
19167 US Highway 18 Ste 6
Apple Valley, CA 92307-2561
Mailing address
19167 US Highway 18 Ste 6
Apple Valley, CA 92307-2561
Other names 1
- Inland Valley Hospice Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220802000062 | CA | Part A Provider - Hospice | 8123400595 | Practice locations: Apple Valley, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1346979028. Details of each certification follow.
Hospice certification: CCN 551560
- Legal name
- ALLEVIATE CARE-APPLE VALLEY LLC
- Doing business as
- INLAND VALLEY HOSPICE CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 22, 2009
- Last certification
- Jul 13, 2018
- Ownership / control type
- Proprietary - Corporation
- Most recent change of ownership
- Dec 13, 2023
- Organization structure
- LLC
- Incorporated
- Mar 31, 2022 in DE
- Enrollment address
- 19167 US Highway 18
Ste 6
Apple Valley, CA 92307-2561
Care Compare: Hospice
Medicare Care Compare- Listed as
- Inland Valley Hospice Care
- Ownership
- For-Profit
- Certified
- Sep 22, 2009
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
19167 US Highway 18
Ste 16
Apple Valley, CA 92307
Ownership & related parties
All disclosed owners & managing parties 18
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 |
|---|---|---|---|
| Stephen a Greene | 5% Or Greater Indirect Ownership Interest | Apr 25, 2022 | 12.5% |
| Corporate Director | Mar 29, 2022 | ||
| Operational/Managerial Control | Mar 29, 2022 | ||
| Mary Focht | W-2 Managing Employee | Jun 1, 2022 | |
| Operational/Managerial Control | Jun 1, 2022 | ||
| Brent a Emery | Corporate Officer | Mar 29, 2022 | |
| Corporate Director | Mar 29, 2022 | ||
| Operational/Managerial Control | Mar 29, 2022 | ||
| Inland Valley Consultants, Inc | 5% Or Greater Security Interest | Jun 1, 2022 | 100% |
| Janet L Jones | Corporate Officer | Mar 29, 2022 | 100% |
| Corporate Director | Mar 29, 2022 | ||
| Operational/Managerial Control | Mar 29, 2022 | ||
| Guy J Rosenthal | Corporate Officer | Mar 29, 2022 | |
| Corporate Director | Mar 29, 2022 | ||
| Operational/Managerial Control | Mar 29, 2022 | ||
| Alleviate Care Operating Co., Inc | 5% Or Greater Direct Ownership Interest | Mar 29, 2022 | 100% |
| Operational/Managerial Control | Mar 29, 2022 | 100% | |
| Inland Valley Hospice Care, Inc. | 5% Or Greater Security Interest | Jun 1, 2022 | 100% |
| Alleviate Care, LLC | 5% Or Greater Indirect Ownership Interest | Apr 25, 2022 | 5.25% |
| Operational/Managerial Control | Apr 25, 2022 | 100% | |
| David Rothenstein | 5% Or Greater Indirect Ownership Interest | Apr 25, 2022 | 5% |
| CDC II LLC | 5% Or Greater Direct Ownership Interest | Apr 25, 2022 | 6.25% |
| Alan Kaplan | Corporate Director | Mar 29, 2022 | |
| Operational/Managerial Control | Mar 29, 2022 | ||
| Xiaoli Qiu | 5% Or Greater Indirect Ownership Interest | Apr 25, 2022 | 5.03% |
| Alleviate Care Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Apr 23, 2022 | 100% |
| Operational/Managerial Control | Apr 25, 2022 | 100% | |
| Wahid Midou | Contracted Managing Employee | Jun 1, 2022 | |
| Operational/Managerial Control | Jun 1, 2022 | ||
| Nina Kjellson | 5% Or Greater Indirect Ownership Interest | Apr 25, 2022 | 5% |
| Natalie Allen | 5% Or Greater Security Interest | Jun 1, 2022 | 100% |
| Live Oak Banking Company | 5% Or Greater Security Interest | Jun 15, 2022 | 100% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Urology Physician
- Los Angeles, CA
- NPI 1013233642
Corporate Director, Operational/Managerial Control
-
- Geriatric Medicine (Internal Medicine) Physician
- Apple Valley, CA
- NPI 1275563967
Contracted Managing Employee, Operational/Managerial Control
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Inland Valley Hospice
- Community Based Hospice Care Agency
- Riverside, CA
- NPI 1174252852
Alleviate Care Holdings, LLC, Alleviate Care Operating Co., Inc, Alleviate Care, LLC, CDC II LLC
-
dba Allpoint Hospice
- Community Based Hospice Care Agency
- Los Angeles, CA
- NPI 1588395370
Alleviate Care Holdings, LLC, Alleviate Care Operating Co., Inc, Alleviate Care, LLC, CDC II LLC
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jun 1, 2022 | Change of Ownership | Inland Valley Hospice Care, Inc. |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- Victorville, CA
- NPI 1376765834
Acquired from, 2022-06-01
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1654560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661126400000",
"number": "1346979028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19167 US HIGHWAY 18 STE 6",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19167 US HIGHWAY 18 STE 6",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072561",
"telephone_number": "760-243-2501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEVIATE CARE-APPLE VALLEY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-07",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "JAN",
"authorized_official_title_or_position": "PARENT CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "760-243-2501"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Inland Valley Hospice Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Inland Valley Hospice Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.