Amare Vista Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AMARE VISTA HOSPICE

Practice address

3655 Torrance Blvd Ste 322
Torrance, CA 90503-4867

Phone

(424) 247-1218

NPI assigned

Dec 23, 2019

Last updated

Dec 23, 2019By 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

Helen Rol

Title

Ceo

Phone

(310) 347-7126

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 1376182394. Details of each certification follow.

• CCN B31662 Hospice · Active · Details

Hospice certification: CCN B31662

Legal name

AMARE VISTA HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 19, 2021

Last certification

Aug 19, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 6, 2019 in CA

Enrollment address

3655 Torrance Blvd
Ste 322
Torrance, CA 90503-4867

Listed as

Amare' Vista HospiceCCN B31662 · All quality measures

Certified

Aug 19, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Prode P Pascual, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Norwalk, CA
  • NPI 1558454595

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Prode P Pascual, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Norwalk, CA
  • NPI 1558454595

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1376182394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 TORRANCE BLVD STE 322",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034867",
            "telephone_number": "424-247-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 TORRANCE BLVD STE 322",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034867",
            "telephone_number": "424-247-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARE VISTA HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "ROL",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-347-7126"
    },
    "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 Torrance, CA
• Providers in Torrance, 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 Dec 23, 2019; 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.