Organization Active NPI

Atrium Hospice,Inc.

  • Community Based Hospice Care Agency
  • Pasadena, CA
National Provider Identifier
1407478068
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ATRIUM HOSPICE,INC.
Practice address
133 N Altadena Dr Ste 301
Pasadena, CA 91107-7328
Phone
(626) 469-0020
Fax
(626) 469-0021
NPI assigned
May 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Ms. Katherine Joy Tojong
Title
DPCS/Administrator
Phone
(626) 469-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

133 N Altadena Dr Ste 301
Pasadena, CA 91107-7328

Mailing address

133 N Altadena Dr Ste 301
Pasadena, CA 91107-7328
Phone (626) 469-0020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210301001976 CA Part A Provider - Hospice 7911313846 Practice locations: Pasadena, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407478068. Details of each certification follow.

Hospice certification: CCN B21640

Legal name
ATRIUM HOSPICE,INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 29, 2021
Last certification
Jul 29, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 14, 2020 in CA
Enrollment address
133 N Altadena Dr
Ste 301
Pasadena, CA 91107-7328

Care Compare: Hospice

Medicare Care Compare
Listed as
Atrium Hospice, IncCCN B21640 · All quality measures
Ownership
For-Profit
Certified
Jul 29, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

133 N Altadena Dr
Ste 301
Pasadena, CA 91107
Phone (626) 469-0020

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
Katherine Joy Tojong Individual 5% Or Greater Direct Ownership InterestOwner Dec 1, 2021 50%
Corporate OfficerCeo/Owner Dec 1, 2021 50%
Corporate DirectorCeo/Owner Dec 1, 2021 50%
W-2 Managing EmployeeDPCS/Administrator Dec 1, 2021 50%
Emmanuel Luna Individual Corporate DirectorMedical Director Feb 1, 2022 75%
Ma Perla Vidal Individual 5% Or Greater Direct Ownership InterestOwner Dec 1, 2021 50%
Corporate OfficerCfo/Secretary/Owner Dec 1, 2021 50%
W-2 Managing EmployeeOffice Manager Jan 1, 2022

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1589587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1407478068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N ALTADENA DR STE 301",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077328",
            "telephone_number": "626-469-0020",
            "fax_number": "626-469-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N ALTADENA DR STE 301",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077328",
            "telephone_number": "626-469-0020",
            "fax_number": "626-469-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATRIUM HOSPICE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-16",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "TOJONG",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "DPCS/ADMINISTRATOR",
        "authorized_official_telephone_number": "626-469-0020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.