Mission Hospice & Home Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

0700000584 Issued in CA

Legal business name

MISSION HOSPICE & HOME CARE, INC.

Practice address

66 Bovet Road Suite 100
Suite 300
San Mateo, CA 94402-3126

Phone

(650) 554-1000

Fax

(650) 554-1018

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Alex Ignacio

Title

Chief Administrative Officer

Phone

(650) 554-1000

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mission Hospice of San Mateo County Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 051665

Legal name

MISSION HOSPICE & HOME CARE INC

Doing business as

COMMUNITY HOSPICE OF THE BAY HHA

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 12, 1995

Last certification

Mar 13, 2020

Ownership / control type

Non-Profit - Private

Organization structure

CorporationNon-profit

Incorporated

Feb 22, 1979 in CA

Enrollment address

66 Bovet Rd
Ste 100
San Mateo, CA 94402-3126

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mission Hospice & Home Care Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Mateo, CA
  • NPI 1831772359

  5698749109

  Same PAC ID

Listed as

Mission Hospice & Home Care, Inc.CCN 051665

Ownership

Non-Profit

Certified

Oct 12, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Mission Hospice Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mission Hospice & Home Care Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Mateo, CA
  • NPI 1831772359
  NPD tax ID

All disclosed owners & managing parties 20

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 5

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

• By the Bay Health

  • Community Based Hospice Care Agency
  • San Francisco, CA
  • NPI 1215987532

  Operational/Managerial Control

  CMS ownership
• By the Bay Health

  • Community Based Hospice Care Agency
  • Larkspur, CA
  • NPI 1255381547

  Operational/Managerial Control

  CMS ownership
• Michelle Sarah Mourad, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1073712261

  Corporate Director

  CMS ownership
• Steven Z. Pantilat, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Francisco, CA
  • NPI 1457318073

  Corporate Director

  CMS ownership
• Claritza L Rios, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Brooklyn, NY
  • NPI 1841354164

  Corporate Officer, W-2 Managing Employee

  CMS ownership

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Hope Hospice Inc.

  • Community Based Hospice Care Agency
  • Dublin, CA
  • NPI 1902907041

  By the Bay Health

  CMS ownership
• Incare Home Care, LLC

  • Home Health Agency
  • Sonoma, CA
  • NPI 1215411848

  By the Bay Health

  CMS ownership
• Incare Home Care, LLC

  • Home Health Agency
  • Larkspur, CA
  • NPI 1922511807

  By the Bay Health

  CMS ownership

Affiliated clinicians 1

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

• Natalie Chen Young, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Francisco, CA
  • NPI 1780974428
  Care Compare affiliation

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1396754115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BOVET RD STE 100",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023126",
            "telephone_number": "650-554-1000",
            "fax_number": "650-554-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BOVET ROAD SUITE 100",
            "address_2": "SUITE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023126",
            "telephone_number": "650-554-1000",
            "fax_number": "650-554-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HOSPICE & HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "IGNACIO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "650-554-1000"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "0700584",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "0700000584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CA502834",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051665",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Hospice of San Mateo County",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mission Hospice of San Mateo County",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Analexa Miranda
• Andrea Maria-Elena Miranda
• Cristian Miranda
• Nassim Mirreghabie
• Mission Hospice & Home Care Inc.
• Jonathan Mitchelmore, LCSW
• Linda Kajlsa Miyatake, DDS MD
• Tina Mizukami, MFT
• Mobile Health Consumer, Inc.
• Danielle Mock

• Community Based Hospice Care Agency in San Mateo, CA
• Providers in San Mateo, 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 Jul 15, 2022; 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.