Organization Active NPI

Holy Care Hospice, Inc.

  • Community Based Hospice Care Agency
  • Ontario, CA
National Provider Identifier
1427397140
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOLY CARE HOSPICE, INC.
Practice address
3200 Inland Empire Blvd Ste 245
Ontario, CA 91764-5582
Phone
(818) 786-1600
NPI assigned
Feb 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Mr. Harshdeep Singh
Title
Cfo
Phone
(818) 786-1600

Specialties & licenses 1

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

Addresses

Primary practice location

3200 Inland Empire Blvd Ste 245
Ontario, CA 91764-5582

Mailing address

3200 Inland Empire Blvd Ste 245
Ontario, CA 91764-5582
Phone (818) 786-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130913000427 CA Part A Provider - Hospice 7416191473 Practice locations: Van Nuys, CA

Hospice certification: CCN 751648

Legal name
HOLY CARE HOSPICE, INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 31, 2015
Last certification
Nov 11, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 5, 2012 in CA
Enrollment address
13758 Victory Blvd 200
Van Nuys, CA 91401-6723

Care Compare: Hospice

Medicare Care Compare
Listed as
Holy Care Hospice, IncCCN 751648
Ownership
For-Profit
Certified
Jan 31, 2015
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
05D2081481Holy Care Hospice, Inc.13758 Victory Blvd Ste 200, Van Nuys, CA 91401Certificate of waiverJul 24, 2026

National Provider Directory

National Provider Directory

Locations

3200 Inland Empire Blvd
Ste 245
Ontario, CA 91764
Phone (818) 786-1600

13758 Victory Blvd
Ste 200
Van Nuys, CA 91401
Phone (213) 261-9595

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
Victoria Gezalyan Individual 5% Or Greater Direct Ownership Interest Nov 14, 2012 100%
Corporate OfficerCeo Nov 14, 2012 100%
W-2 Managing EmployeeAdministrator Nov 14, 2012 100%

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": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1427397140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 INLAND EMPIRE BLVD STE 245",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645582",
            "telephone_number": "818-786-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 INLAND EMPIRE BLVD STE 245",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645582",
            "telephone_number": "818-786-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY CARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "HARSHDEEP",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-786-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.