Organization Active NPI

Alleviate Care-Apple Valley LLC

Doing business as Inland Valley Hospice Care

  • Community Based Hospice Care Agency
  • Apple Valley, CA
National Provider Identifier
1346979028
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CareCCN 551560 · All quality measures
Ownership
For-Profit
Certified
Sep 22, 2009
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Stephen a Greene Individual 5% Or Greater Indirect Ownership Interest Apr 25, 2022 12.5%
Corporate DirectorBoard Member Mar 29, 2022
Operational/Managerial ControlBoard Member Mar 29, 2022
Mary Focht Individual W-2 Managing EmployeeDirector of Patient Care Service Jun 1, 2022
Operational/Managerial ControlDirector of Patient Care Service Jun 1, 2022
Brent a Emery Individual Corporate OfficerChief Operating Officer Mar 29, 2022
Corporate DirectorChief Operating Officer & Manage Mar 29, 2022
Operational/Managerial ControlChief Operating Officer & Manage Mar 29, 2022
Inland Valley Consultants, Inc Organization, Corona, CA Created for acquisition, Corporation 5% Or Greater Security Interest Jun 1, 2022 100%
Janet L Jones Individual Corporate OfficerChief Executive Officer Mar 29, 2022 100%
Corporate DirectorChief Executive Officer & Manage Mar 29, 2022
Operational/Managerial ControlChief Executive Officer Mar 29, 2022
Guy J Rosenthal Individual Corporate OfficerSecretary and Board Member Mar 29, 2022
Corporate DirectorSecretary and Board Member Mar 29, 2022
Operational/Managerial ControlSecretary and Board Member Mar 29, 2022
Alleviate Care Operating Co., Inc Organization, Los Angeles, CA Corporation 5% Or Greater Direct Ownership Interest Mar 29, 2022 100%
Operational/Managerial Control Mar 29, 2022 100%
Inland Valley Hospice Care, Inc. Organization, Corona, CA Created for acquisition, Corporation 5% Or Greater Security Interest Jun 1, 2022 100%
Alleviate Care, LLC Organization, Los Angeles, CA LLC 5% Or Greater Indirect Ownership Interest Apr 25, 2022 5.25%
Operational/Managerial Control Apr 25, 2022 100%
David Rothenstein Individual 5% Or Greater Indirect Ownership Interest Apr 25, 2022 5%
CDC II LLC Organization, Bethesda, MD LLC 5% Or Greater Direct Ownership Interest Apr 25, 2022 6.25%
Alan Kaplan Individual Corporate DirectorBoard Member Mar 29, 2022
Operational/Managerial ControlBoard Member Mar 29, 2022
Xiaoli Qiu Individual 5% Or Greater Indirect Ownership Interest Apr 25, 2022 5.03%
Alleviate Care Holdings, LLC Organization, Los Angeles, CA LLC 5% Or Greater Indirect Ownership Interest Apr 23, 2022 100%
Operational/Managerial Control Apr 25, 2022 100%
Wahid Midou Individual Contracted Managing EmployeeMedical Director Jun 1, 2022
Operational/Managerial ControlMedical Director Jun 1, 2022
Nina Kjellson Individual 5% Or Greater Indirect Ownership Interest Apr 25, 2022 5%
Natalie Allen Individual 5% Or Greater Security Interest Jun 1, 2022 100%
Live Oak Banking Company Organization, Wilmington, NC Created for acquisition, Financial institution 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.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 1

DateEventCounterparty
Jun 1, 2022 Change of OwnershipThis provider was the buyer Inland Valley Hospice Care, Inc.CCN 551560, CA, NPI 1376765834

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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

Verify at the official NPI Registry.