Organization Active NPI

Aveeva Hospice - East

  • Community Based Hospice Care Agency
  • Riverside, CA
National Provider Identifier
1427657394
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AVEEVA HOSPICE - EAST
Practice address
3741 Merced Dr Ste L
Riverside, CA 92503-4956
Phone
(951) 405-3013
Fax
(951) 405-3013
NPI assigned
Oct 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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

Authorized official

Name
Jon H Estanislao
Title
Administrator
Phone
(951) 405-3013

Specialties & licenses 1

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

Addresses

Primary practice location

3741 Merced Dr Ste L
Riverside, CA 92503-4956

Mailing address

PO Box 638
San Dimas, CA 91773-0638
Phone (951) 405-3013

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201113001078 CA Part A Provider - Hospice 4587074927 Practice locations: Riverside, CA

Hospice certification: CCN B31624

Legal name
AVEEVA HOSPICE - EAST
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 23, 2021
Last certification
Sep 23, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 8, 2020 in CA
Enrollment address
3741 Merced Dr
Ste L
Riverside, CA 92503-4956

Care Compare: Hospice

Medicare Care Compare
Listed as
Aveeva Hospice - EastCCN B31624
Certified
Sep 23, 2021
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
05D2289164Aveeva Hospice - East3741 Merced Dr Ste L, Riverside, CA 92503Certificate of waiverSep 5, 2027

National Provider Directory

National Provider Directory

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.

NameRoleSinceShare
Jon H Estanislao Individual 5% Or Greater Direct Ownership Interest Oct 14, 2020 65%
Corporate OfficerCeo,Cfo, Secretary Oct 14, 2020
Corporate DirectorBoard Member Oct 14, 2020
W-2 Managing EmployeeHospice Administrator Oct 14, 2020
Anna Sabrina Paningbatan Individual 5% Or Greater Direct Ownership Interest Oct 14, 2020 10%
Corporate DirectorBoard Member Oct 14, 2020
W-2 Managing EmployeeDirector of Patient Care Service Oct 14, 2020
Andro N Sharobiem Individual Contracted Managing EmployeeMedical Director Oct 18, 2020
5% Or Greater Direct Ownership Interest Oct 14, 2020 25%
Corporate DirectorBoard Member Oct 14, 2020

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777161600000",
    "number": "1427657394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917730638",
            "telephone_number": "951-405-3013",
            "fax_number": "951-405-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 MERCED DR STE L",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034956",
            "telephone_number": "951-405-3013",
            "fax_number": "951-405-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVEEVA HOSPICE - EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A",
        "authorized_official_last_name": "ESTANISLAO",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-405-3013"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.