Organization Active NPI

Care Alternatives of California, LLC

Doing business as Ascend Hospice

  • Community Based Hospice Care Agency
  • San Bernardino, CA
National Provider Identifier
1437267309
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
80000789 Issued in CA
Legal business name
CARE ALTERNATIVES OF CALIFORNIA, LLC
Doing business as
Ascend Hospice
Practice address
650 E Hospitality LN Ste 460
San Bernardino, CA 92408-3595
Phone
(951) 353-8006
Fax
(951) 353-8106
NPI assigned
Aug 29, 2006
Last updated
Apr 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Yewande Efodili
Title
Business Director
Phone
(908) 931-9068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 80000789 CA Primary

Addresses

Primary practice location

650 E Hospitality LN Ste 460
San Bernardino, CA 92408-3595

Mailing address

65 Jackson Dr
Suite 103
Cranford, NJ 07016-3516
Phone (908) 931-9068

Other identifiers 4

IdentifierTypeStateIssuer
406364284OtherCAOSHPD NUMBER
BL00058666OtherCACITY LICENSE #
80000789OtherCACA STATE LICENSE #
HPC01792FMedicaidCA

Other names 1

  • Ascend Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041206000307 CA Part A Provider - Hospice 8628980448 Practice locations: San Bernardino, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437267309. Details of each certification follow.

Hospice certification: CCN 051792

Legal name
CARE ALTERNATIVES OF CALIFORNIA LLC
Doing business as
ASCEND HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 18, 2005
Last certification
Dec 20, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Nov 23, 2003
Enrollment address
650 E Hospitality LN
Ste 460
San Bernardino, CA 92408-3595

Care Compare: Hospice

Medicare Care Compare
Listed as
Ascend HospiceCCN 051792 · All quality measures
Ownership
For-Profit
Certified
Nov 18, 2005
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2143 E Convention Center Way
Ste 180
Ontario, CA 91764
Phone (909) 605-1801

3281 E Guasti Rd
Fl 7
Ontario, CA 91761
Phone (626) 234-0877

7344 Magnolia Ave
Ste 245
Riverside, CA 92504
Phone (951) 353-8006

650 E Hospitality Ln
Ste 460
San Bernardino, CA 92408
Phone (951) 353-8006

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Care Solutions, LLC Organization, Fort Lee, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2022
David Baruch Individual Corporate OfficerAdministrator Jan 1, 2023
W-2 Managing EmployeeAdministrator Jan 1, 2023
Operational/Managerial ControlAdministrator Jan 1, 2023
Tonda Bradshaw Individual Corporate DirectorMedical Director Aug 1, 2021 100%
Care Alternatives Hospice Services, LLC Organization, New York, NJ LLC 5% Or Greater Direct Ownership Interest Jan 1, 2008 100%
Care One Ancillary Holdings, LLC Organization, Fort Lee, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2020 28.09%
Jacqueline G Agcaoili Individual Corporate DirectorMedical Director Jun 14, 2013 100%
Robin Spagnoli Individual W-2 Managing EmployeeDirector of Billing Nov 21, 2023 100%
Operational/Managerial ControlDirector of Billing Nov 21, 2023 100%
Daniel E Straus Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2020 63.47%
HRP Capital, Inc Organization, Fort Lee, NJ Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2020 100%
North American Medical Management -New Jersey Inc Organization, Fort Lee, NJ Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2020 71.91%
Health Resource Partner LLC Organization, Fort Lee, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2008 100%
Gregory Emmanuel Individual W-2 Managing EmployeeBilling Manager Aug 1, 2023

Owners & managing parties with NPI records 2

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

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1437267309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 JACKSON DR",
            "address_2": "SUITE 103",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163516",
            "telephone_number": "908-931-9068",
            "fax_number": "908-931-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E HOSPITALITY LN STE 460",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083595",
            "telephone_number": "951-353-8006",
            "fax_number": "951-353-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ALTERNATIVES OF CALIFORNIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "EFODILI",
        "authorized_official_first_name": "YEWANDE",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "908-931-9068"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "80000789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSHPD NUMBER",
            "identifier": "406364284",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY LICENSE #",
            "identifier": "BL00058666",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE #",
            "identifier": "80000789",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01792F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascend Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ascend Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.