Active NPI
Bellview Hospice Care, Inc.
- Community Based Hospice Care Agency
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- BELLVIEW HOSPICE CARE, INC.
- Practice address
- 255 N D St
Suite 214
San Bernardino, CA 92401-1735 - Phone
- (951) 867-4039
- Fax
- (951) 867-4029
- NPI assigned
- May 4, 2014
- 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
- Alan Rascon, RN
- Title
- Ceo
- Phone
- (951) 867-4039
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
255 N D St
Suite 214
San Bernardino, CA 92401-1735
Mailing address
255 N D St
Suite 214
San Bernardino, CA 92401-1735
Phone (951) 867-4039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140929000509 | CA | Part A Provider - Hospice | 4183844038 | Practice locations: San Bernardino, CA |
Hospice certification: CCN A01666
- Legal name
- BELLVIEW HOSPICE CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 16, 2019
- Last certification
- Oct 16, 2019
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Mar 11, 2014 in CA
- Enrollment address
- 255 N D St
Ste 214
San Bernardino, CA 92401-1713
Care Compare: Hospice
Medicare Care Compare- Listed as
- Bellview Hospice Care, Inc
- Ownership
- For-Profit
- Certified
- Oct 16, 2019
- 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 |
|---|---|---|---|
| 05D2196062 | Bellview Hospice Care Inc | Certificate of waiver | Oct 13, 2026 |
National Provider Directory
National Provider DirectoryLocations
6840 Indiana Ave
Ste 225
Riverside, CA 92506
Phone (951) 867-4039
255 N D St
Ste 214
San Bernardino, CA 92401
Phone (951) 867-4039
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mary Rascon | Corporate Officer | Jun 29, 2020 | 100% |
| Corporate Director | Jun 29, 2020 | 100% | |
| W-2 Managing Employee | Jun 29, 2020 | 100% | |
| Operational/Managerial Control | Jun 29, 2020 | 100% | |
| Alan Rascon | 5% Or Greater Direct Ownership Interest | Jun 29, 2020 | 100% |
| Corporate Officer | Jun 29, 2020 | 100% | |
| Corporate Director | Jun 29, 2019 | 100% | |
| W-2 Managing Employee | Jun 29, 2020 | 100% | |
| Operational/Managerial Control | Jun 29, 2020 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1399161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595289600000",
"number": "1487064143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 N D ST",
"address_2": "SUITE 214",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011735",
"telephone_number": "951-867-4039",
"fax_number": "951-867-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 N D ST",
"address_2": "SUITE 214",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011735",
"telephone_number": "951-867-4039",
"fax_number": "951-867-4029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLVIEW HOSPICE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-04",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A",
"authorized_official_last_name": "RASCON",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "951-867-4039",
"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 San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.