Active NPI
Atrium Hospice,Inc.
- Community Based Hospice Care Agency
- Pasadena, CA
National Provider Identifier
1407478068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- For-Profit
- Certified
- Jul 29, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Katherine Joy Tojong | 5% Or Greater Direct Ownership Interest | Dec 1, 2021 | 50% |
| Corporate Officer | Dec 1, 2021 | 50% | |
| Corporate Director | Dec 1, 2021 | 50% | |
| W-2 Managing Employee | Dec 1, 2021 | 50% | |
| Emmanuel Luna | Corporate Director | Feb 1, 2022 | 75% |
| Ma Perla Vidal | 5% Or Greater Direct Ownership Interest | Dec 1, 2021 | 50% |
| Corporate Officer | Dec 1, 2021 | 50% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.