Active NPI
Royal Majesty Hospice Inc
- Community Based Hospice Care Agency
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ROYAL MAJESTY HOSPICE INC
- Practice address
- 3939 Atlantic Ave
Suite 216
Long Beach, CA 90807-3536 - Phone
- (562) 787-4271
- NPI assigned
- Oct 21, 2011
- Last updated
- Oct 21, 2011
- 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
- Mr. Rommel Alcantara, RN
- Title
- Ceo
- Phone
- (562) 787-4271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
3939 Atlantic Ave
Suite 216
Long Beach, CA 90807-3536
Mailing address
3939 Atlantic Ave
Suite 216
Long Beach, CA 90807-3536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111101000456 | CA | Part A Provider - Hospice | 0648443986 | Practice locations: Long Beach, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1457636466. Details of each certification follow.
Hospice certification: CCN 751588
- Legal name
- ROYAL MAJESTY HOSPICE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 2, 2014
- Last certification
- Jun 24, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 15, 2008 in CA
- Enrollment address
- 3939 Atlantic Ave 216
Long Beach, CA 90807-3535
Care Compare: Hospice
Medicare Care Compare- Listed as
- Royal Majesty Hospice, Inc.
- Ownership
- For-Profit
- Certified
- Jul 2, 2014
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2036118 | Royal Majesty Hospice Inc | Certificate of waiver | Jan 31, 2028 |
National Provider Directory
National Provider DirectoryLocations
3939 Atlantic Ave
Ste 216
Long Beach, CA 90807
Phone (562) 424-8886
Ownership & 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 |
|---|---|---|---|
| Roel S Ochengco | 5% Or Greater Direct Ownership Interest | Nov 1, 2011 | 5% |
| Corporate Director | Nov 1, 2011 | 5% | |
| W-2 Managing Employee | Nov 1, 2011 | 5% | |
| Khai Q Tran | Contracted Managing Employee | Jan 22, 2014 | |
| Rommel Gomez Alcantara | 5% Or Greater Direct Ownership Interest | Nov 28, 2017 | 90% |
| Corporate Officer | Nov 1, 2011 | 90% | |
| Corporate Director | Nov 1, 2011 | 90% | |
| W-2 Managing Employee | Nov 1, 2011 | 90% | |
| Anna Riza S Vanos | 5% Or Greater Direct Ownership Interest | Nov 10, 2011 | 5% |
| Corporate Officer | Nov 1, 2011 | 10% | |
| Corporate Director | Nov 1, 2011 | 5% | |
| W-2 Managing Employee | Nov 1, 2011 | 5% |
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
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Long Beach, CA
- NPI 1184340002
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": "1319155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319155200000",
"number": "1457636466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 ATLANTIC AVE",
"address_2": "SUITE 216",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 ATLANTIC AVE",
"address_2": "SUITE 216",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073536",
"telephone_number": "562-787-4271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL MAJESTY HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-21",
"last_updated": "2011-10-21",
"status": "A",
"authorized_official_last_name": "ALCANTARA",
"authorized_official_first_name": "ROMMEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "15627874271",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.