Organization Active NPI

Reliable Hospice, Inc.

  • Community Based Hospice Care Agency
  • Orange, CA
National Provider Identifier
1447537345
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
RELIABLE HOSPICE, INC.
Practice address
1234 W Chapman Ave Ste 103
Orange, CA 92868-2862
Phone
(714) 395-4694
Fax
(714) 395-4694
NPI assigned
Nov 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Ms. Maria Teresa Bocala
Title
Director of Operations
Phone
(714) 395-4694

Specialties & licenses 1

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

Addresses

Primary practice location

1234 W Chapman Ave Ste 103
Orange, CA 92868-2862

Mailing address

1234 W Chapman Ave Ste 103
Orange, CA 92868-2862
Phone (714) 395-4694

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120605000203 CA Part A Provider - Hospice 2264696145 Practice locations: Orange, CA

Hospice certification: CCN 551701

Legal name
RELIABLE HOSPICE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 4, 2013
Last certification
Apr 26, 2019
Ownership / control type
Proprietary - Individual
Organization structure
CorporationProprietary
Enrollment address
1234 W Chapman Ave
Ste 103
Orange, CA 92868-2862

Care Compare: Hospice

Medicare Care Compare
Listed as
Reliable Hospice, IncCCN 551701
Ownership
For-Profit
Certified
Apr 4, 2013
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
05D2043892Reliable Hospice Inc1234 W Chapman Ave Ste 103, Orange, CA 92868Certificate of waiverJul 11, 2026

National Provider Directory

National Provider Directory

Locations

5150 E La Palma Ave
Ste 202
Anaheim, CA 92807
Phone (714) 395-4694

1234 W Chapman Ave
Ste 103
Orange, CA 92868
Phone (714) 395-4694

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
Priti Sanghvi Individual 5% Or Greater Direct Ownership InterestCeo Nov 4, 2011 100%
Corporate OfficerCeo Nov 4, 2011 100%
Corporate Director Nov 4, 2011 100%
W-2 Managing EmployeeCeo Nov 4, 2011 100%
Rajiv Sanghvi Individual Corporate OfficerAdministrator Jul 30, 2020 100%
W-2 Managing Employee Jul 30, 2020
Operational/Managerial ControlAdministrator Jul 30, 2020 100%
Ali Shahverdiani Individual Contracted Managing EmployeeMD; Apr 1, 2024
Corporate DirectorMedical Director Apr 1, 2024
W-2 Managing EmployeeMD; Apr 1, 2024

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": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1447537345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 W CHAPMAN AVE STE 103",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682862",
            "telephone_number": "714-395-4694",
            "fax_number": "714-705-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 W CHAPMAN AVE STE 103",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682862",
            "telephone_number": "714-395-4694",
            "fax_number": "714-395-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "BOCALA",
        "authorized_official_first_name": "MARIA TERESA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "714-395-4694",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.