Organization Active NPI

Americade Palliative Health Services, Inc.

  • Community Based Hospice Care Agency
  • Montebello, CA
National Provider Identifier
1376817973
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 751601 · All quality measures
Ownership
For-Profit
Certified
Sep 18, 2014
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Maria Visitacion a Tesoro Individual 5% Or Greater Direct Ownership Interest May 1, 2018 10%
Corporate DirectorBoard Member May 1, 2018 10%
Operational/Managerial Control May 1, 2018 10%
Emma Reario Remonte Individual 5% Or Greater Direct Ownership Interest May 1, 2018 10%
Corporate DirectorBoard Member May 1, 2018 10%
W-2 Managing EmployeeAdministrator May 1, 2018 10%
Retzie Reyla Eugenio Individual 5% Or Greater Direct Ownership Interest May 1, 2018 10%
Corporate DirectorBoard Member May 1, 2018 10%
Filomeno Ebora Alcaide Individual 5% Or Greater Direct Ownership InterestPresident/Ceo Jan 24, 2024 70%
Corporate OfficerPresident/Ceo Jan 24, 2024 70%
Corporate DirectorBoard Member Jan 24, 2024 70%
W-2 Managing Employee Jan 24, 2024 70%
Operational/Managerial Control Jan 24, 2024 70%
Yvette Laws Individual Other May 1, 2018
Soumitra Sarkar Individual Contracted Managing EmployeeMedical Director 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.

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.

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

Sources for this page

Verify at the official NPI Registry.