RDM Forever, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

RDM FOREVER, LLC

Doing business as

Above and Beyond Hospice Care

Practice address

4774 Riverside Dr Ste F
Chino, CA 91710-3339

Phone

(800) 503-2970

Fax

(800) 503-2970

NPI assigned

Nov 9, 2015

Last updated

Dec 3, 2018By 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

Nimrit Bhullar

Title

Administrator

Phone

(626) 675-2271

Specialties & licenses 1

Addresses

Other names 1

• Above and Beyond 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 1396118568. Details of each certification follow.

• CCN 921780 Hospice · Active · Details

Hospice certification: CCN 921780

Legal name

RDM FOREVER, LLC

Doing business as

ABOVE AND BEYOND HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 2, 2018

Last certification

Sep 24, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Mar 12, 2010 in CA

Enrollment address

4774 Riverside Dr
Ste F
Chino, CA 91710-3339

Listed as

Above and Beyond Hospice CareCCN 921780 · All quality measures

Ownership

For-Profit

Certified

Jul 2, 2018

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 2

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Anil D Mall, M.D.

  • Family Medicine Physician
  • Colton, CA
  • NPI 1285656900

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control

  CMS ownership

Practitioners 2

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.

• Anil D Mall, M.D.

  • Family Medicine Physician
  • Colton, CA
  • NPI 1285656900
  NPD
• Celerina Noreik, FNP

  • Family Nurse Practitioner
  • Chino, CA
  • NPI 1467181826
  NPD

Affiliated clinicians 2

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

• Kasein Gonzalez, MD

  • Family Medicine Physician
  • Orange, CA
  • NPI 1700049459

  Hospice

  Care Compare affiliation
• Anil D Mall, M.D.

  • Family Medicine Physician
  • Colton, CA
  • NPI 1285656900

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1396118568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4774 RIVERSIDE DR STE F",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103339",
            "telephone_number": "800-503-2970",
            "fax_number": "800-503-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4774 RIVERSIDE DR STE F",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103339",
            "telephone_number": "800-503-2970",
            "fax_number": "800-503-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RDM FOREVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "BHULLAR",
        "authorized_official_first_name": "NIMRIT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-675-2271"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Above and Beyond Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Above and Beyond Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randa Nasr DDS
• Mayra J Rangel, MFT
• Sapna Rasania, M.D., M.P.H.
• Eric Rauda
• Melissa Ashley Rayner, MSW, LCSW
• Real Health Acupuncture & Herbs
• Peter Reck, PT
• Sudhir K Reddy, M.D.
• Bradlianne Reighter, LCSW
• Reminiscence Hospice Inc

• Community Based Hospice Care Agency in Chino, CA
• Providers in Chino, 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 Dec 3, 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.