Active NPI
Nurses Care Hospice Inc
- Community Based Hospice Care Agency
- Ontario, CA
National Provider Identifier
1487047569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- For-Profit
- Certified
- Aug 29, 2017
- 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 |
|---|---|---|---|
| 05D2290040 | Nurses Care Hospice Inc | Certificate of waiver | Sep 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nina K Chhu | 5% Or Greater Direct Ownership Interest | Jul 21, 2023 | 100% |
| Corporate Officer | Jul 21, 2023 | 100% | |
| Corporate Director | Jul 21, 2023 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.