Organization Active NPI

American Compassionate Hospice Care Inc

  • Community Based Hospice Care Agency
  • Bakersfield, CA
National Provider Identifier
1477021244
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AMERICAN COMPASSIONATE HOSPICE CARE INC
Practice address
5531 Business Park S Ste 202a
Bakersfield, CA 93309-1667
Phone
(661) 619-1271
Fax
(661) 404-4925
NPI assigned
Nov 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Mohammed Adil
Title
Administrator
Phone
(661) 404-4044

Specialties & licenses 1

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

Addresses

Primary practice location

5531 Business Park S Ste 202a
Bakersfield, CA 93309-1667

Mailing address

5531 Business Park S Ste 202a
Bakersfield, CA 93309-1667
Phone (661) 404-4044

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190211002845 CA Part A Provider - Hospice 5294073649 Practice locations: Bakersfield, CA

Hospice certification: CCN A11543

Legal name
AMERICAN COMPASSIONATE HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 29, 2020
Last certification
Jul 29, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 24, 2017 in CA
Enrollment address
5531 Business Park S
Ste 202a
Bakersfield, CA 93309-1667

Care Compare: Hospice

Medicare Care Compare
Listed as
American Compassionate Hospice Care IncCCN A11543
Ownership
For-Profit
Certified
Jul 29, 2020
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
05D2167551American Compassionate5531 Business Park South, Ste 202a, Bakersfield, CA 93309Certificate of waiverJun 10, 2027

National Provider Directory

National Provider Directory

Locations

5531 Business Park S
Ste 202A
Bakersfield, CA 93309
Phone (661) 619-1271

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.

NameRoleSinceShare
Adil J Akhtar Individual Corporate OfficerCeo Mar 17, 2017 33.33%
Corporate DirectorCeo Mar 17, 2017 33.33%
Operational/Managerial ControlCeo Mar 17, 2017 33.33%
Mohammed Adil Individual Corporate OfficerCfo/Secretary Mar 17, 2017 33.34%
Corporate DirectorCfo/Secretary Mar 17, 2017 33.34%
W-2 Managing EmployeeAd; Oct 31, 2018 33.34%
Operational/Managerial ControlCfo/Secretary Mar 17, 2017 33.34%
Shahrukh Sanjana Individual Corporate OfficerBoard of Director Mar 17, 2017 33.33%
Corporate DirectorBoard of Director Mar 17, 2017 33.33%
Operational/Managerial ControlBoard of Director Mar 17, 2017 33.33%
Syed Alam Individual Contracted Managing EmployeeMD; Nov 1, 2018
5% Or Greater Direct Ownership Interest Mar 1, 2020

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1477021244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5531 BUSINESS PARK S STE 202A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091667",
            "telephone_number": "661-404-4044",
            "fax_number": "661-404-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5531 BUSINESS PARK S STE 202A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091667",
            "telephone_number": "661-619-1271",
            "fax_number": "661-404-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN COMPASSIONATE HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "ADIL",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-404-4044"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.