Organization Active NPI

Empress Hospice Inc

  • Community Based Hospice Care Agency
  • Canoga Park, CA
National Provider Identifier
1407239163
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jun 30, 2015

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN A01575
Ownership
For-Profit
Certified
Jan 18, 2019
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Grace Suico Toczauer Individual 5% Or Greater Direct Ownership InterestCeo Feb 10, 2020 100%
W-2 Managing EmployeeCeo Feb 10, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

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

Verify at the official NPI Registry.