Valencia Hospice Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VALENCIA HOSPICE CARE

Practice address

25050 Avenue Kearny Ste 104
Valencia, CA 91355-1256

Phone

(661) 249-6245

NPI assigned

Jan 14, 2015

Last updated

Jan 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sanaz Bourgeois

Title

Administrator

Phone

(661) 249-6245

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467841403. Details of each certification follow.

• CCN A01515 Hospice · Active · Details

Hospice certification: CCN A01515

Legal name

VALENCIA HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 22, 2018

Last certification

Jun 23, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 9, 2014 in CA

Enrollment address

25050 Avenue Kearny
Ste 104
Valencia, CA 91355-1256

Listed as

Valencia Hospice CareCCN A01515 · All quality measures

Ownership

For-Profit

Certified

Mar 22, 2018

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 7

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

Owners & managing parties with NPI records 1

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

• Iffat Maqbool, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Long Beach, CA
  • NPI 1568794063

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Edvin Dilanchiyan, MD

  • Hospitalist Physician
  • Orange, CA
  • NPI 1245483700

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1467841403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25050 AVENUE KEARNY STE 104",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551256",
            "telephone_number": "661-249-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25050 AVENUE KEARNY STE 104",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551256",
            "telephone_number": "661-249-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENCIA HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "BOURGEOIS",
        "authorized_official_first_name": "SANAZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-249-6245"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valencia Gastroenterology, Inc.
• Valencia Gynecology Associates
• Valencia Gynecology Associates Inc a Medical Group
• Valencia Home Care Inc
• Valencia Home Health Care Inc
• Valencia Internal Medical Group Inc
• Valencia MRI LLC (INSIGHT IMAGING-Valencia)
• Valencia Optometry Inc
• Valencia Pediatric Associates
• Valencia Psychiatry, Inc.

• Community Based Hospice Care Agency in Valencia, CA
• Providers in Valencia, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.

Verify at the official NPI Registry.