Active NPI
Americade Palliative Health Services, Inc.
- Community Based Hospice Care Agency
- Montebello, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- AMERICADE PALLIATIVE HEALTH SERVICES, INC.
- Practice address
- 420 N Montebello Blvd.,
#205
Montebello, CA 90640-4263 - Phone
- (323) 728-8160
- Fax
- (323) 728-8319
- NPI assigned
- Feb 28, 2012
- Last updated
- Aug 4, 2015
- 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
- Mr. Jose R Lozano
- Title
- Chief Financial Officer
- Phone
- (323) 728-8160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
420 N Montebello Blvd.,
#205
Montebello, CA 90640-4263
Mailing address
420 N Montebello Blvd.,
#205
Montebello, CA 90640-4263
Phone (323) 728-8160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120413000610 | CA | Part A Provider - Hospice | 9638330871 | Practice locations: Montebello, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1376817973. Details of each certification follow.
Hospice certification: CCN 751601
- Legal name
- AMERICADE PALLIATIVE HEALTH SERVICES, INC.
- Doing business as
- AMERICADE HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 18, 2014
- Last certification
- Sep 27, 2017
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 15, 2010 in CA
- Enrollment address
- 420 N Montebello Blvd
Ste 204
Montebello, CA 90640-4274
Care Compare: Hospice
Medicare Care Compare- Listed as
- Americade Palliative Health Services, Inc.
- Ownership
- For-Profit
- Certified
- Sep 18, 2014
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
111 W Beverly Blvd
Ste 210
Montebello, CA 90640
Phone (323) 722-7711
420 N Montebello Blvd
Ste 204
Montebello, CA 90640
Phone (323) 722-1357
420 N Montebello Blvd
Ste 205
Montebello, CA 90640
Phone (323) 728-8160
Ownership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Maria Visitacion a Tesoro | 5% Or Greater Direct Ownership Interest | May 1, 2018 | 10% |
| Corporate Director | May 1, 2018 | 10% | |
| Operational/Managerial Control | May 1, 2018 | 10% | |
| Emma Reario Remonte | 5% Or Greater Direct Ownership Interest | May 1, 2018 | 10% |
| Corporate Director | May 1, 2018 | 10% | |
| W-2 Managing Employee | May 1, 2018 | 10% | |
| Retzie Reyla Eugenio | 5% Or Greater Direct Ownership Interest | May 1, 2018 | 10% |
| Corporate Director | May 1, 2018 | 10% | |
| Filomeno Ebora Alcaide | 5% Or Greater Direct Ownership Interest | Jan 24, 2024 | 70% |
| Corporate Officer | Jan 24, 2024 | 70% | |
| Corporate Director | Jan 24, 2024 | 70% | |
| W-2 Managing Employee | Jan 24, 2024 | 70% | |
| Operational/Managerial Control | Jan 24, 2024 | 70% | |
| Yvette Laws | Other | May 1, 2018 | |
| Soumitra Sarkar | Contracted Managing Employee | May 1, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Montebello, CA
- NPI 1578573010
Contracted 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, and the practitioner matching its NPPES authorized official.
-
- Radiation Oncology Physician
- Montebello, CA
- NPI 1427128073
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": "1330387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438646400000",
"number": "1376817973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 N MONTEBELLO BLVD.,",
"address_2": "#205",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404263",
"telephone_number": "323-728-8160",
"fax_number": "323-728-8319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N MONTEBELLO BLVD.,",
"address_2": "#205",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404263",
"telephone_number": "323-728-8160",
"fax_number": "323-728-8319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICADE PALLIATIVE HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-28",
"last_updated": "2015-08-04",
"status": "A",
"authorized_official_last_name": "LOZANO",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "323-728-8160",
"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": []
}
Other providers in Montebello, CA
- Josephine Alvarez
- Paul Alvarez, PTA
- Rainbow Alvarez
- Ambarchyan & Mehrabian Dental Corporation
- Americade Home Health Agency LLC.
- American Current Care of California, a Medical Corporation (Concentra Urgent Care)
- American Medical Pharmacy (GEORGE T Y ZHUANG Doing Business As AMERICAN MEDICAL PHARMACY)
- Nahid Amjadi
- James Edward Amondsen
- Betsy Andrade
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.