Saint Verena Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SAINT VERENA HOSPICE CARE, INC.

Practice address

500 S Kraemer Blvd
Suite# 150
Brea, CA 92821-6728

Phone

(714) 528-8856

NPI assigned

Mar 3, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Remon N Wahba, M.D

Title

Ceo

Phone

(714) 528-8856

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 751587

Legal name

SAINT VERENA HOSPICE CARE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 11, 2014

Last certification

Mar 24, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 18, 2012 in CA

Enrollment address

500 S Kraemer Blvd
Ste 150
Brea, CA 92821-6775

Listed as

Saint Verena Hospice Care, IncCCN 751587

Ownership

For-Profit

Certified

Sep 11, 2014

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

Affiliated clinicians 1

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

• Pin-Hung Hsieh, M.D.

  • Internal Medicine Physician
  • Tustin, CA
  • NPI 1144323064

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1362268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362268800000",
    "number": "1386985265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S KRAEMER BLVD",
            "address_2": "SUITE# 150",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216728",
            "telephone_number": "714-528-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S KRAEMER BLVD",
            "address_2": "SUITE# 150",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216728",
            "telephone_number": "714-528-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT VERENA HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-03",
        "last_updated": "2013-03-03",
        "status": "A",
        "authorized_official_last_name": "WAHBA",
        "authorized_official_first_name": "REMON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-528-8856",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "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 Brea, CA
• Providers in Brea, 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 Mar 3, 2013; 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.