NPIMap

Organization Active NPI

Committed Hospice Care Inc.

  • Community Based Hospice Care Agency
  • Garden Grove, CA
National Provider Identifier
1437506409
Registry record updated Apr 13, 2023
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Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMMITTED HOSPICE CARE INC.
Practice address
12062 Valley View St
Suite 235
Garden Grove, CA 92845-1737
Phone
(657) 227-3847
Fax
(657) 227-3855
NPI assigned
May 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Maya Mellina Thona
Title
Administrator
Phone
(714) 606-7986

Specialties & licenses 1

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

Addresses

Primary practice location

12062 Valley View St
Suite 235
Garden Grove, CA 92845-1737

Mailing address

12062 Valley View St
Suite 235
Garden Grove, CA 92845-1737
Phone (657) 227-3847

Other names 1

  • GOOD HEART HOSPICE & PALLIATIVE CARE GARDEN GROVE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160817001973 CA Part A Provider - Hospice 4688969553 Practice locations: Garden Grove, CA

Hospice certification: CCN 921652

Legal name
COMMITTED HOSPICE CARE, INC.
Doing business as
GOOD HEART HOSPICE & PALLIATIVE CARE GARDEN GROVE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 12, 2017
Last certification
Jun 12, 2017
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 12, 2016 in CA
Enrollment address
12062 Valley View St
Ste 235
Garden Grove, CA 92845-1770

Care Compare: Hospice

Medicare Care Compare
Listed as
Good Heart Hospice & Palliative Care Garden GroveCCN 921652
Ownership
For-Profit
Certified
Jun 12, 2017
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

12062 Valley View St
Ste 235
Garden Grove, CA 92845
Phone (657) 227-3847

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Ei Health Care Investments LLC Organization, Paducah, KY LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2019 20.8%
Maya Mellina Thona Individual 5% Or Greater Indirect Ownership InterestAdministrator Jan 1, 2019 32.55%
Corporate Director Jan 28, 2019 100%
W-2 Managing EmployeeAd; Jan 28, 2019 100%
Operational/Managerial Control Jan 28, 2019 50%
Patrick Thona Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2019 32.55%
Corporate Director Jan 28, 2019 100%
Gregory Nelson Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2019 5.2%
Good Heart Hospice LLC Organization, Ontario, CA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jan 28, 2019 100%
Operational/Managerial Control Jan 28, 2019
Dushyant Arun Viswanathan Individual Contracted Managing EmployeeMD; Jan 29, 2022 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

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": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1437506409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12062 VALLEY VIEW ST",
            "address_2": "SUITE 235",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451737",
            "telephone_number": "657-227-3847",
            "fax_number": "657-227-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12062 VALLEY VIEW ST",
            "address_2": "SUITE 235",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451737",
            "telephone_number": "657-227-3847",
            "fax_number": "657-227-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMITTED HOSPICE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "THONA",
        "authorized_official_first_name": "MAYA",
        "authorized_official_middle_name": "MELLINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-606-7986"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOOD HEART HOSPICE & PALLIATIVE CARE GARDEN GROVE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.