Meridian Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MERIDIAN HOSPICE CARE INC

Doing business as

Meridian Hospice Care

Practice address

8400 Maple PL Ste 109
Rancho Cucamonga, CA 91730-3874

Phone

(909) 484-4810

Fax

(909) 484-4271

NPI assigned

Jan 3, 2014

Last updated

Jun 30, 2016By 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. Gordhan Patel

Title

Ceo

Phone

(909) 484-4810

Specialties & licenses 1

Addresses

Other names 1

• MERIDIAN HOSPICE CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376964791. Details of each certification follow.

• CCN 921703 Hospice · Active · Details

Hospice certification: CCN 921703

Legal name

MERIDIAN HOSPICE CARE INC

Doing business as

JF ECARRI

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 22, 2017

Last certification

Jul 16, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 27, 2016 in CA

Enrollment address

5562 Philadelphia St
Ste 210
Chino, CA 91710-2482

Listed as

Meridian Hospice CareCCN 921703 · All quality measures

Ownership

For-Profit

Certified

Jun 22, 2017

Medicare certification status

ActiveFrom the Provider of Services file

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 2

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

• Delshad Ahmad, MD

  • Hematology & Oncology Physician
  • Rancho Mirage, CA
  • NPI 1043508666

  Hospice

  Care Compare affiliation
• Shaheen Lashani, MD

  • Hospitalist Physician
  • Rancho Mirage, CA
  • NPI 1679102057

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1376964791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 MAPLE PL STE 109",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303874",
            "telephone_number": "909-484-4810",
            "fax_number": "909-484-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 MAPLE PL STE 109",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303874",
            "telephone_number": "909-484-4810",
            "fax_number": "909-484-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "GORDHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-484-4810",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERIDIAN HOSPICE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kree Deani Mercer
• Shirley Daughters Mercer, DDS
• Thomas William Mercer, DDS
• Jayden Renee Meredith
• Sarah Meredith
• Kimberly Merino
• Merrell Family Counseling, Inc. (Rancho Cucamonga Therapist)
• Stacey Lee Merrell, LMFT
• Samantha J Merrill-Applegate
• Rebeca Merrill

• Community Based Hospice Care Agency in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Jun 30, 2016; 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.