Organization Active NPI

Sincere Hospice and Palliative Care Inc.

  • Hospice Registered Nurse
  • Garden Grove, CA
National Provider Identifier
1427529122
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice Registered NurseTaxonomy code 163WH1000X
Legal business name
SINCERE HOSPICE AND PALLIATIVE CARE INC.
Practice address
12881 Knott St Ste 234
Garden Grove, CA 92841-3943
Phone
(657) 667-4111
Fax
(657) 234-2637
NPI assigned
Dec 7, 2018
Last updated
Dec 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Authorized official

Name
Isauro M Agustin Jr., RN
Title
Cfo
Phone
(714) 869-6302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X NU Primary

Addresses

Primary practice location

12881 Knott St Ste 234
Garden Grove, CA 92841-3943

Mailing address

12881 Knott St Ste 234
Garden Grove, CA 92841-3943
Phone (657) 667-4111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190409000013 CA Part A Provider - Hospice 9931440500 Practice locations: Garden Grove, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427529122. Details of each certification follow.

Hospice certification: CCN B41691

Legal name
SINCERE HOSPICE AND PALLIATIVE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 10, 2022
Last certification
May 10, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 2, 2018 in CA
Enrollment address
12881 Knott St
Ste 234
Garden Grove, CA 92841-3943

Care Compare: Hospice

Medicare Care Compare
Listed as
Sincere Hospice and Palliative Care, IncCCN B41691 · All quality measures
Certified
May 10, 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
05D2183502Sincere Hospice & Palliative Care, Inc12881 Knott Street Suite 234, Garden Grove, CA 92841Certificate of waiverMay 5, 2028

National Provider Directory

National Provider Directory

Locations

12881 Knott St
Ste 234
Garden Grove, CA 92841
Phone (657) 667-4111

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jose J Guerra Individual Contracted Managing EmployeeMD; Sep 9, 2025
Bernadette Agustin Individual 5% Or Greater Direct Ownership InterestAdmin, Ceo, Cfo, Sec, Board of D Sep 15, 2021 100%
Corporate OfficerAdmin, Ceo, Cfo, Sec, Board of D Sep 15, 2021 100%
Corporate DirectorAdmin, Ceo, Cfo, Sec, Board of D Sep 15, 2021 100%
W-2 Managing EmployeeAdmin, Ceo, Cfo, Sec, Board of D Sep 15, 2021 100%
Operational/Managerial ControlAdmin, Ceo, Cfo, Sec, Board of D Sep 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.

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": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1427529122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12881 KNOTT ST STE 234",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413943",
            "telephone_number": "657-667-4111",
            "fax_number": "657-234-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12881 KNOTT ST STE 234",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413943",
            "telephone_number": "657-667-4111",
            "fax_number": "657-234-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINCERE HOSPICE AND PALLIATIVE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "AGUSTIN",
        "authorized_official_first_name": "ISAURO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-869-6302",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.