Gold Star Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GOLD STAR HOSPICE LLC

Practice address

830 Stewart Dr Ste 185
Sunnyvale, CA 94085-4513

Phone

(650) 814-0056

NPI assigned

Mar 19, 2021

Last updated

Mar 19, 2021By 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

Mrs. Sandra Gavney, RNNPI 1508480252

Title

Owner

Phone

(650) 814-0056

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396321444. Details of each certification follow.

• CCN B41680 Hospice · Active · Details

Hospice certification: CCN B41680

Legal name

GOLD STAR HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 29, 2022

Last certification

Sep 1, 2022

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Oct 11, 2019 in CA

Enrollment address

830 Stewart Dr
Ste 185
Sunnyvale, CA 94085-4513

Listed as

Gold Star Hospice, LLCCCN B41680 · All quality measures

Certified

Sep 29, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Five Star Home Care LLC

  • Home Health Agency
  • Sunnyvale, CA
  • NPI 1790520229

  Member Of

  NPD member

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.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Five Star Home Care LLC

  • Home Health Agency
  • Sunnyvale, CA
  • NPI 1790520229

  5% Or Greater Direct Ownership Interest

  CMS ownership

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.

• Sandra Rajoo Gavney, RN

  • Hospice Registered Nurse
  • Sunnyvale, CA
  • NPI 1508480252
  NPD Authorized official

Affiliated clinicians 1

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

• Kashif Naim Abdullah, M.D. , M.P.H

  • General Practice Physician
  • San Jose, CA
  • NPI 1164651212

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1396321444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SANTA SUSANA ST",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940853470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 STEWART DR STE 185",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854513",
            "telephone_number": "650-814-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "GAVNEY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-814-0056",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Farin Hasrat Godil, DMD
• Charmin Gohel, MD
• Sheetal S Gokhale, DDS
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• Gary M Gold, O. D.
• Golden Needle Acupuncture Center, Inc (Golden Needle Acupuncture Center)
• Golden State Diagnostic Inc (Sunnyvale Imaging Center)
• Golden Sunshine Health Inc
• Rachel Rebecca Goldstein, M.D.

• Community Based Hospice Care Agency in Sunnyvale, CA
• Providers in Sunnyvale, 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 19, 2021; 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.