Santa Ana Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SANTA ANA HOSPICE INC

Practice address

610 Pacific Coast Hwy Ste 211
Seal Beach, CA 90740

Phone

(562) 430-1683

NPI assigned

Nov 14, 2013

Organization subpart

No

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

Authorized official

Name

Stephen Gradney

Title

Ceo

Phone

(562) 430-1922

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 921647

Legal name

SANTA ANA HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 22, 2017

Last certification

Dec 15, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 19, 2013 in CA

Enrollment address

14482 Beach Blvd
Ste R
Westminster, CA 92683-5341

Listed as

Santa Ana Hospice, IncCCN 921647 · All quality measures

Ownership

For-Profit

Certified

May 22, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1386074128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PACIFIC COAST HWY STE 211",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406650",
            "telephone_number": "562-430-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PACIFIC COAST HWY STE 211",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "90740",
            "telephone_number": "562-430-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ANA HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "GRADNEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-430-1922"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adele F. Ryan, PSYCHOLOGIST
• Anne Maureen Ryan, IMF
• Genene Salman, PHARMD
• Jasmine Elizabeth Samson, FNP-C
• Johan Sangalang
• Ernest Callera Santos, OTR/L
• Lovely Santos
• Sara Choi, O.D., Inc.
• Kesha Saucier, NP, LMFT, LEP
• Julia Savoni

• Community Based Hospice Care Agency in Seal Beach, CA
• Providers in Seal Beach, 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 Aug 20, 2018; 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.