Adjustable Care Life Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ADJUSTABLE CARE LIFE INC.

Practice address

1440 N Harbor Blvd Ste 600B
Fullerton, CA 92835-4119

Phone

(657) 378-9020

Fax

(657) 378-9024

NPI assigned

May 17, 2019

Last updated

Apr 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Harshal Vaza

Title

Ceo

Phone

(657) 378-9020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366008906. Details of each certification follow.

• CCN A11788 Hospice · Active · Details

Hospice certification: CCN A11788

Legal name

ADJUSTABLE CARE LIFE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 29, 2021

Last certification

Apr 29, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 18, 2019 in CA

Enrollment address

2461 E Orangethorpe Ave
Ste 221
Fullerton, CA 92831-5302

Listed as

Adjustable Care Life IncCCN A11788 · All quality measures

Ownership

For-Profit

Certified

Apr 29, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Pin-Hung Hsieh, M.D.

  • Internal Medicine Physician
  • Tustin, CA
  • NPI 1144323064

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1366008906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 600B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354119",
            "telephone_number": "657-378-9020",
            "fax_number": "657-378-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 600B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354119",
            "telephone_number": "657-378-9020",
            "fax_number": "657-378-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADJUSTABLE CARE LIFE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "VAZA",
        "authorized_official_first_name": "HARSHAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "657-378-9020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.

Verify at the official NPI Registry.