Organization Active NPI

Greenfield Hospice and Palliative Care Inc

  • Community Based Hospice Care Agency
  • Cerritos, CA
National Provider Identifier
1407449150
Registry record updated Feb 13, 2021
On this page

Key facts

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

Updated by the provider on Feb 13, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN B51566
Certified
Sep 19, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2219965Greenfield Hospice and Palliative Care Inc17315 Studebaker Road Suite 214, Cerritos, CA 90703Certificate of waiverApr 7, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Narcisa Francisco Individual 5% Or Greater Direct Ownership Interest Jan 1, 2021 100%
Corporate OfficerCeo,Cfo,Secretary Jan 1, 2021 100%
Corporate DirectorCeo,Cfo,Secretary Jan 1, 2021 100%
W-2 Managing EmployeeAd;Ceo,Cfo,Secretary Jan 1, 2021 100%
Operational/Managerial ControlCeo,Cfo,Secretary Jan 1, 2021 100%
Hani Benyamin Individual Contracted Managing EmployeeMD; Jun 1, 2025
Maria Tricia Fontanilla Individual W-2 Managing EmployeeDirector of Patient Care Service Feb 15, 2021 100%
Operational/Managerial ControlDirector of Patient Care Service 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.

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

Verify at the official NPI Registry.