Active NPI
Empress Hospice Inc
- Community Based Hospice Care Agency
- Canoga Park, CA
National Provider Identifier
1407239163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- EMPRESS HOSPICE INC
- Practice address
- 22048 Sherman Way Ste 108
Canoga Park, CA 91303-1893 - Phone
- (818) 693-8653
- NPI assigned
- Jun 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Lombard
- Title
- Ceo
- Phone
- (818) 481-8181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
22048 Sherman Way Ste 108
Canoga Park, CA 91303-1893
Mailing address
22048 Sherman Way Ste 108
Canoga Park, CA 91303-1893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160505001313 | CA | Part A Provider - Hospice | 7719286137 | Practice locations: Canoga Park, CA |
Hospice certification: CCN A01575
- Legal name
- EMPRESS HOSPICE, INC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 18, 2019
- Last certification
- Feb 16, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 10, 2014 in CA
- Enrollment address
- 7301 Topanga Canyon Blvd, Ste 370
Canoga Park, CA 91303-3395
Care Compare: Hospice
Medicare Care Compare- Listed as
- Empress Hospice, Inc
- Ownership
- For-Profit
- Certified
- Jan 18, 2019
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
7301 Topanga Canyon Blvd
Ste 370
Canoga Park, CA 91303
Phone (747) 777-8186
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Grace Suico Toczauer | 5% Or Greater Direct Ownership Interest | Feb 10, 2020 | 100% |
| W-2 Managing Employee | Feb 10, 2020 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Los Angeles, CA
- NPI 1194899336
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435622400000",
"number": "1407239163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22048 SHERMAN WAY STE 108",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913031893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22048 SHERMAN WAY STE 108",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913031893",
"telephone_number": "818-693-8653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPRESS HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-30",
"last_updated": "2015-06-30",
"status": "A",
"authorized_official_last_name": "LOMBARD",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-481-8181"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.