Alleviate Care-Apple Valley LLC
Organization Active NPI Community Based Hospice Care Agency · Apple Valley, CA
NPI 1346979028 · NPPES record last updated Aug 22, 2022
Key facts
- NPI
- 1346979028
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- ALLEVIATE CARE-APPLE VALLEY LLC
- Practice address
- 19167 US Highway 18 Ste 6
Apple Valley, CA 92307-2561 - Phone
- (760) 243-2501
- NPI assigned
- Jun 7, 2022
- Organization subpart
- No
Authorized official
- Name
- Jan Jones
- Title
- Parent Chief Executive Officer
- Phone
- (760) 243-2501
Owners & managing parties with NPI records 2
-
Alan Louis Kaplan, M.D.
-
Wahid Midou, M.D.
Change of ownership 1
Facilities with the same owner 2
Affiliated clinicians 3
-
Ravindra Moharpal Gautam, M.D.
-
Alan Louis Kaplan, M.D.
Medicare Care Compare: Hospice
- Listed as
- Inland Valley Hospice Care
- Ownership
- For-Profit
- Certified
- Sep 22, 2009
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
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 · Proprietary
- Incorporated
- Mar 31, 2022 in DE
- Enrollment address
- 19167 US Highway 18
Ste 6
Apple Valley, CA 92307-2561
All disclosed owners & managing parties 18
| 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% |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Jun 1, 2022 | Change of Ownership |
Inland Valley Hospice Care, Inc. |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220802000062 | CA | Part a Provider - Hospice | 8123400595 | Practice locations: Apple Valley, CA |
National Provider Directory
Locations
19167 US Highway 18
Ste 6
Apple Valley, CA 92307
Phone (760) 242-6452
19167 US Highway 18
Ste 16
Apple Valley, CA 92307
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
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
- Inland Valley Hospice Care
Other providers in Apple Valley, CA
- Mauritha Allen-Lehew
- Alyx Rae Allen
- Monique Helen Louisa Allen
- Samantha Allen
- Kellsie Allender
- Katelyn Allison
- Aniyah Almarez
- Nuha Alomari
- Alpha Connection Youth & Family Services
- Alpha Connection Youth & Family Services
All providers in Apple Valley, CA · Community Based Hospice Care Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.