Active NPI
Vanguard Hospice Care, Inc
- Community Based Hospice Care Agency
- Chino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- VANGUARD HOSPICE CARE, INC
- Practice address
- 13781 Roswell Ave Ste D
Chino, CA 91710-5475 - Phone
- (951) 371-5681
- Fax
- (951) 808-5417
- NPI assigned
- Mar 8, 2014
- 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
- Xinke Chen
- Title
- President
- Phone
- (951) 371-5681
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | CA | Primary |
Addresses
Primary practice location
13781 Roswell Ave Ste D
Chino, CA 91710-5475
Mailing address
13781 Roswell Ave Ste D
Chino, CA 91710-5475
Phone (951) 371-5681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160112003300 | CA | Part A Provider - Hospice | 6406158195 | Practice locations: Corona, CA |
Hospice certification: CCN 921520
- Legal name
- VANGUARD HOSPICE CARE, INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 5, 2016
- Last certification
- Mar 17, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 14, 2012 in CA
- Enrollment address
- 770 Magnolia Ave
Ste 2G
Corona, CA 92879-3122
Care Compare: Hospice
Medicare Care Compare- Listed as
- Vanguard Hospice Care
- Ownership
- For-Profit
- Certified
- May 5, 2016
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2081393 | Vanguard Hospice Care, Inc | Certificate of waiver | Jul 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
13781 Roswell Ave
Ste 3D
Chino, CA 91710
Phone (909) 548-0100
13781 Roswell Ave
Ste D
Chino, CA 91710
Phone (951) 371-5681
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 |
|---|---|---|---|
| Xinke Chen | 5% Or Greater Direct Ownership Interest | Nov 14, 2012 | 100% |
| Corporate Officer | Nov 14, 2012 | 100% | |
| Corporate Director | Nov 14, 2012 | 100% | |
| W-2 Managing Employee | Nov 14, 2012 | 100% | |
| Operational/Managerial Control | Nov 14, 2012 | 100% | |
| Gilda Torcuator | Corporate Officer | Oct 6, 2014 | |
| Chun Yang | Corporate Officer | Oct 6, 2014 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospitalist Physician
- Corona, CA
- NPI 1780634857
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Corona, CA
- NPI 1780634857
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": "1394236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394236800000",
"number": "1356767818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13781 ROSWELL AVE STE D",
"city": "CHINO",
"state": "CA",
"postal_code": "917105475",
"telephone_number": "951-371-5681",
"fax_number": "951-808-5417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13781 ROSWELL AVE STE D",
"city": "CHINO",
"state": "CA",
"postal_code": "917105475",
"telephone_number": "951-371-5681",
"fax_number": "951-808-5417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANGUARD HOSPICE CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-08",
"last_updated": "2014-03-08",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "XINKE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-371-5681"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2014; 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.