Active NPI
Exceptional Hospice Care
- Community Based Hospice Care Agency
- Upland, CA
National Provider Identifier
1427636760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- EXCEPTIONAL HOSPICE CARE
- Practice address
- 818 N Mountain Ave Ste 103
Upland, CA 91786-4164 - Phone
- (909) 256-4564
- NPI assigned
- Mar 30, 2021
- 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
- Charles Seno
- Title
- Ceo
- Phone
- (909) 256-4564
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
818 N Mountain Ave Ste 103
Upland, CA 91786-4164
Mailing address
818 N Mountain Ave Ste 103
Upland, CA 91786-4164
Phone (909) 256-4564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220405000095 | CA | Part A Provider - Hospice | 4688060411 | Practice locations: Upland, CA |
Hospice certification: CCN B51745
- Legal name
- EXCEPTIONAL HOSPICE CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Apr 17, 2023
- Last certification
- Apr 5, 2023
- Organization structure
- Corporation
- Incorporated
- Mar 18, 2021 in CA
- Enrollment address
- 818 N Mountain Ave
Ste 103
Upland, CA 91786-4164
Care Compare: Hospice
Medicare Care Compare- Listed as
- Exceptional Hospice Care
- Certified
- Apr 17, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Charles Seno | 5% Or Greater Direct Ownership Interest | Dec 13, 2023 | 50% |
| Corporate Officer | Dec 13, 2023 | 50% | |
| Corporate Director | Dec 13, 2023 | 50% | |
| W-2 Managing Employee | Sep 25, 2025 | 50% | |
| Iluminada G Ladera | W-2 Managing Employee | Feb 15, 2026 | |
| Alberto Ma a Salcedo | 5% Or Greater Direct Ownership Interest | Dec 13, 2023 | 50% |
| Corporate Officer | Dec 13, 2023 | 50% | |
| Corporate Director | Dec 13, 2023 | 50% | |
| W-2 Managing Employee | Dec 13, 2023 | 50% | |
| Daisy Ibanez Bautista | Contracted Managing Employee | Feb 15, 2026 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1306856992
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1617062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715904000000",
"number": "1427636760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 N MOUNTAIN AVE STE 103",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864164",
"telephone_number": "909-256-4564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 N MOUNTAIN AVE STE 103",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864164",
"telephone_number": "909-256-4564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEPTIONAL HOSPICE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-30",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A",
"authorized_official_last_name": "SENO",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-256-4564"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.