Organization Active NPI

Nurses Care Hospice Inc

  • Community Based Hospice Care Agency
  • Ontario, CA
National Provider Identifier
1487047569
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
NURSES CARE HOSPICE INC
Practice address
909 S Cucamonga Ave
Ste 115B
Ontario, CA 91761-1973
Phone
(909) 256-0462
Fax
(909) 256-0470
NPI assigned
Mar 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Nina Chhu, RN
Title
President
Phone
(909) 408-8003

Specialties & licenses 1

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

Addresses

Primary practice location

909 S Cucamonga Ave
Ste 115B
Ontario, CA 91761-1973

Mailing address

909 S Cucamonga Ave
Ste 115B
Ontario, CA 91761-1973
Phone (909) 256-0462

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151216000781 CA Part A Provider - Hospice 6709187776 Practice locations: Ontario, CA

Hospice certification: CCN 921686

Legal name
NURSES CARE HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 29, 2017
Last certification
Aug 29, 2017
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 16, 2015 in CA
Enrollment address
909 S Cucamonga Ave
Ste 115B
Ontario, CA 91761-1977

Care Compare: Hospice

Medicare Care Compare
Listed as
Nurses Care Hospice, IncCCN 921686
Ownership
For-Profit
Certified
Aug 29, 2017
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
05D2290040Nurses Care Hospice Inc909 S Cucamonga Ave Suite 115B, Ontario, CA 91761Certificate of waiverSep 18, 2027

National Provider Directory

National Provider Directory

Locations

909 S Cucamonga Ave
Ste 115B
Ontario, CA 91761
Phone (909) 256-0462

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Nina K Chhu Individual 5% Or Greater Direct Ownership Interest Jul 21, 2023 100%
Corporate OfficerPresident/Vice President/Cfo/Sec Jul 21, 2023 100%
Corporate DirectorPresident/Vice President/Cfo/Sec Jul 21, 2023 100%
W-2 Managing EmployeePresident/Vice President/Cfo/Sec Jul 21, 2023 100%

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": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1487047569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S CUCAMONGA AVE",
            "address_2": "STE 115B",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917611973",
            "telephone_number": "909-256-0462",
            "fax_number": "909-256-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S CUCAMONGA AVE",
            "address_2": "STE 115B",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917611973",
            "telephone_number": "909-256-0462",
            "fax_number": "909-256-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSES CARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "CHHU",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-408-8003",
        "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 Ontario, CA

Sources for this page

Verify at the official NPI Registry.