Active NPI
Greenfield Hospice and Palliative Care Inc
- Community Based Hospice Care Agency
- Cerritos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GREENFIELD HOSPICE AND PALLIATIVE CARE INC
- Practice address
- 17315 Studebaker Rd Ste 214
Cerritos, CA 90703-2508 - Phone
- (562) 683-1183
- NPI assigned
- Feb 13, 2021
- 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
- Narcisa Francisco
- Title
- Ceo
- Phone
- (562) 683-1183
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
17315 Studebaker Rd Ste 214
Cerritos, CA 90703-2508
Mailing address
17315 Studebaker Rd Ste 214
Cerritos, CA 90703-2508
Phone (562) 683-1183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210308000754 | CA | Part A Provider - Hospice | 0547676199 | Practice locations: Cerritos, CA |
Hospice certification: CCN B51566
- Legal name
- GREENFIELD HOSPICE AND PALLIATIVE CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 19, 2022
- Last certification
- Sep 2, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Jan 1, 2021 in CA
- Enrollment address
- 17315 Studebaker Rd
Ste 214
Cerritos, CA 90703-2508
Care Compare: Hospice
Medicare Care Compare- Listed as
- Greenfield Hospice and Palliative Care Inc.
- Certified
- Sep 19, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2219965 | Greenfield Hospice and Palliative Care Inc | Certificate of waiver | Apr 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
17315 Studebaker Rd
Ste 214
Cerritos, CA 90703
Phone (562) 683-1183
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Narcisa Francisco | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 100% |
| Corporate Officer | Jan 1, 2021 | 100% | |
| Corporate Director | Jan 1, 2021 | 100% | |
| W-2 Managing Employee | Jan 1, 2021 | 100% | |
| Operational/Managerial Control | Jan 1, 2021 | 100% | |
| Hani Benyamin | Contracted Managing Employee | Jun 1, 2025 | |
| Maria Tricia Fontanilla | W-2 Managing Employee | Feb 15, 2021 | 100% |
| Operational/Managerial Control | Feb 15, 2021 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Cypress, CA
- NPI 1770783896
Contracted Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613174400000",
"number": "1407449150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17315 STUDEBAKER RD STE 214",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032508",
"telephone_number": "562-683-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17315 STUDEBAKER RD STE 214",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032508",
"telephone_number": "562-683-1183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENFIELD HOSPICE AND PALLIATIVE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-13",
"last_updated": "2021-02-13",
"certification_date": "2021-02-13",
"status": "A",
"authorized_official_last_name": "FRANCISCO",
"authorized_official_first_name": "NARCISA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "562-683-1183"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.