Organization Active NPI

Vertex Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Santa Clarita, CA
National Provider Identifier
1487066502
Registry record updated Jul 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
VERTEX HOSPICE CARE, INC.
Practice address
28436 Constellation Rd Ste 100
Santa Clarita, CA 91355-5081
Phone
(818) 937-1001
Fax
(818) 937-4790
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2022

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

Authorized official

Name
Mr. Lovell Macasaet, CEO
Title
Ceo
Phone
(818) 937-1001

Specialties & licenses 1

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

Addresses

Primary practice location

28436 Constellation Rd Ste 100
Santa Clarita, CA 91355-5081

Mailing address

28436 Constellation Rd Ste 100
Santa Clarita, CA 91355-5081
Phone (818) 937-1001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140805000168 CA Part A Provider - Hospice 3173740834 Practice locations: Santa Clarita, CA

Hospice certification: CCN A01595

Legal name
VERTEX HOSPICE CARE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 26, 2019
Last certification
Jan 26, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 26, 2014 in CA
Enrollment address
28436 Constellation Rd
Ste 100
Santa Clarita, CA 91355-5081

Care Compare: Hospice

Medicare Care Compare
Listed as
Vertex Hospice Care, IncCCN A01595
Ownership
For-Profit
Certified
Jan 26, 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
05D2104336Vertex Hospice Care, Inc28436 Constellation Rd, Ste 100, Santa Clarita, CA 91355Certificate of waiverNov 1, 2027

National Provider Directory

National Provider Directory

Locations

512 E Wilson Ave
Ste 201
Glendale, CA 91206
Phone (818) 937-1001

28436 Constellation Rd
Ste 100
Valencia, CA 91355
Phone (818) 937-1001

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
Lovell a Macasaet Individual 5% Or Greater Direct Ownership Interest Mar 26, 2014 100%
Corporate OfficerCeo, Cfo, Secretary of the Board Mar 26, 2014 100%
W-2 Managing EmployeeAd; Mar 26, 2014 100%
Operational/Managerial ControlAdministrator Mar 26, 2014 100%
Rodolfo Protacio Individual Corporate DirectorMedical Director Apr 20, 2021
W-2 Managing EmployeeMD; Apr 20, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658620800000",
    "number": "1487066502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28436 CONSTELLATION RD STE 100",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913555081",
            "telephone_number": "818-937-1001",
            "fax_number": "818-937-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28436 CONSTELLATION RD STE 100",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913555081",
            "telephone_number": "818-937-1001",
            "fax_number": "818-937-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERTEX HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A",
        "authorized_official_last_name": "MACASAET",
        "authorized_official_first_name": "LOVELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-937-1001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.