Organization Active NPI

Vanguard Hospice Care, Inc

  • Community Based Hospice Care Agency
  • Chino, CA
National Provider Identifier
1356767818
Registry record updated Mar 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Mar 8, 2014

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

Authorized official

Name
Xinke ChenNPI 1780634857
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CareCCN 921520
Ownership
For-Profit
Certified
May 5, 2016
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2081393Vanguard Hospice Care, Inc770 Magnolia Ave Ste 2G, Corona, CA 92879Certificate of waiverJul 23, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Xinke Chen Individual 5% Or Greater Direct Ownership InterestCeo,Cfo,Secretary, & Director Nov 14, 2012 100%
Corporate OfficerCeo Nov 14, 2012 100%
Corporate DirectorDirector Nov 14, 2012 100%
W-2 Managing EmployeePresident Nov 14, 2012 100%
Operational/Managerial ControlPresident Nov 14, 2012 100%
Gilda Torcuator Individual Corporate OfficerAdministrator Oct 6, 2014
Chun Yang Individual Corporate OfficerCfo 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.