Organization Active NPI

Oc Senior Care Resources Inc

Doing business as Hospice and Palliative Care of

  • Community Based Hospice Care Agency
  • Lake Forest, CA
National Provider Identifier
1356909857
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
OC SENIOR CARE RESOURCES INC
Doing business as
Hospice and Palliative Care of
Hospice and Palliative Care of California
Practice address
23201 Lake Center Dr Ste 110
Lake Forest, CA 92630-6821
Phone
(949) 664-9916
Fax
(888) 873-3090
NPI assigned
May 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Marinela Angeles
Title
Ceo
Phone
(949) 289-1746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

23201 Lake Center Dr Ste 110
Lake Forest, CA 92630-6821

Mailing address

23201 Lake Center Dr Ste 110
Lake Forest, CA 92630-6821
Phone (949) 664-9916

Other names 2

  • Hospice and Palliative Care of Doing business as
  • Hospice and Palliative Care of California Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190626000254 CA Part A Provider - Hospice 9436483468 Practice locations: Lake Forest, CA

Hospice certification: CCN B31642

Legal name
OC SENIOR CARE RESOURCES INC
Doing business as
HOSPICE & PALLIATIVE CARE OF CALIFORNIA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 8, 2021
Last certification
Feb 8, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jun 26, 2018 in CA
Enrollment address
23201 Lake Center Dr
Ste 110
Lake Forest, CA 92630-6821

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice & Palliative Care of CaliforniaCCN B31642 ยท All quality measures
Certified
Feb 8, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

23201 Lake Center Dr
Ste 110
Lake Forest, CA 92630
Phone (949) 664-9916

26060 Acero
Ste 215
Mission Viejo, CA 92691
Phone (949) 202-8908

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marinela Angeles Individual 5% Or Greater Direct Ownership Interest May 8, 2019 25%
Corporate OfficerCeo May 8, 2019 100%
Corporate DirectorCeo May 8, 2019 100%
W-2 Managing EmployeeCeo May 8, 2019 100%
Operational/Managerial ControlCeo May 8, 2019 100%
Rommel Angeles Individual 5% Or Greater Direct Ownership Interest May 8, 2019 25%
Corporate OfficerBoard Member May 8, 2019 100%
Corporate DirectorBoard Member May 8, 2019 100%
W-2 Managing EmployeeBoard Member May 8, 2019 100%
Operational/Managerial ControlBoard Member May 8, 2019 100%
Loida Angeles Individual 5% Or Greater Direct Ownership Interest May 8, 2019 25%
Corporate OfficerCfo May 8, 2019 100%
Corporate DirectorCfo May 8, 2019 100%
W-2 Managing EmployeeCfo May 8, 2019 100%
Operational/Managerial ControlCfo May 8, 2019 100%
Rachel Anne Tutop Individual 5% Or Greater Direct Ownership Interest May 8, 2019 25%
Corporate OfficerSecretary May 8, 2019 100%
Corporate DirectorSecretary May 8, 2019 100%
W-2 Managing EmployeeSecretary May 8, 2019 100%
Operational/Managerial ControlSecretary May 8, 2019 100%

Practitioners & affiliated clinicians

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": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1356909857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23201 LAKE CENTER DR STE 110",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306821",
            "telephone_number": "949-664-9916",
            "fax_number": "888-873-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23201 LAKE CENTER DR STE 110",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306821",
            "telephone_number": "949-664-9916",
            "fax_number": "888-873-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC SENIOR CARE RESOURCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "ANGELES",
        "authorized_official_first_name": "MARINELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-289-1746"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice and Palliative Care of",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospice and Palliative Care of California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

Verify at the official NPI Registry.