Advocare Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ADVOCARE HOSPICE, INC

Practice address

12419 Lewis St Ste 106
Garden Grove, CA 92840-4655

Phone

(714) 265-7348

Fax

(714) 252-4315

NPI assigned

Mar 2, 2015

Organization subpart

No

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

Authorized official

Name

Donald Pagaduan

Title

Ceo

Phone

(714) 265-7348

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A01530

Legal name

ADVOCARE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 16, 2018

Last certification

Nov 16, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

12377 Lewis St
Ste 103
Garden Grove, CA 92840-4691

Listed as

Advocare Hospice, IncCCN A01530

Ownership

For-Profit

Certified

Nov 16, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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.

• Pin-Hung Hsieh, M.D.

  • Internal Medicine Physician
  • Tustin, CA
  • NPI 1144323064

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 2

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

• Pin-Hung Hsieh, M.D.

  • Internal Medicine Physician
  • Tustin, CA
  • NPI 1144323064

  Hospice

  Care Compare affiliation
• Lawrence Shinzo Tawa, MD

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1346241023

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1487046231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12419 LEWIS ST STE 106",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404655",
            "telephone_number": "714-265-7348",
            "fax_number": "714-252-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12419 LEWIS ST STE 106",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404655",
            "telephone_number": "714-265-7348",
            "fax_number": "714-252-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCARE HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "PAGADUAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-265-7348"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Garden Grove, CA
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.