Active NPI
Holy Care Hospice, Inc.
- Community Based Hospice Care Agency
- Ontario, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- For-Profit
- Certified
- Jan 31, 2015
- 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 |
|---|---|---|---|
| 05D2081481 | Holy Care Hospice, Inc. | Certificate of waiver | Jul 24, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Victoria Gezalyan | 5% Or Greater Direct Ownership Interest | Nov 14, 2012 | 100% |
| Corporate Officer | Nov 14, 2012 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.