Organization Active NPI

Bellview Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • San Bernardino, CA
National Provider Identifier
1487064143
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jul 21, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN A01666
Ownership
For-Profit
Certified
Oct 16, 2019
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
05D2196062Bellview Hospice Care Inc255 N D Street, San Bernardino, CA 92401Certificate of waiverOct 13, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Mary Rascon Individual Corporate OfficerSecretary, Officer, Director, DP Jun 29, 2020 100%
Corporate DirectorSecretary, Officer, Director, DP Jun 29, 2020 100%
W-2 Managing EmployeeSecretary, Officer, Director, DP Jun 29, 2020 100%
Operational/Managerial ControlSecretary, Officer, Director, DP Jun 29, 2020 100%
Alan Rascon Individual 5% Or Greater Direct Ownership InterestOwner 100%, Ceo/President,Cfo/TR Jun 29, 2020 100%
Corporate OfficerOwner 100%, Ceo/President, Cfo/T Jun 29, 2020 100%
Corporate DirectorOwner 100%, Ceo/President, Cfo/T Jun 29, 2019 100%
W-2 Managing EmployeeOwner 100%, Ceo/President, Cfo/T Jun 29, 2020 100%
Operational/Managerial ControlOwner 100%, Ceo/President, Cfo/T 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

Verify at the official NPI Registry.