Organization Active NPI

Innerjoy Hospice Care Incorporated

  • Community Based Hospice Care Agency
  • Simi Valley, CA
National Provider Identifier
1487089579
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
INNERJOY HOSPICE CARE INCORPORATED
Practice address
1965 Yosemite Ave Ste 115
Simi Valley, CA 93063-5220
Phone
(805) 522-5010
NPI assigned
Sep 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Dr. Craig Matthew Michayluk
Title
President
Phone
(818) 359-9447

Specialties & licenses 1

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

Addresses

Primary practice location

1965 Yosemite Ave Ste 115
Simi Valley, CA 93063-5220

Mailing address

PO Box 7610
Northridge, CA 91327-7610
Phone (818) 359-9447

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141008000984 CA Part A Provider - Hospice 1658591987 Practice locations: Simi Valley, CA

Hospice certification: CCN 751583

Legal name
INNERJOY HOSPICE CARE INCORPORATED
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 23, 2014
Last certification
Oct 29, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 27, 2013 in CA
Enrollment address
1965 Yosemite Ave
Ste 115
Simi Valley, CA 93063-5220

Care Compare: Hospice

Medicare Care Compare
Listed as
Innerjoy Hospice Care, IncCCN 751583
Ownership
For-Profit
Certified
Dec 23, 2014
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
05D2073716Innerjoy Hospice Care, Inc1965 Yosemite Ave, Ste 115, Simi Valley, CA 93063Certificate of waiverFeb 23, 2028

National Provider Directory

National Provider Directory

Locations

1965 Yosemite Ave
Ste 115
Simi Valley, CA 93063
Phone (805) 522-5010

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Craig M. Michayluk Individual 5% Or Greater Direct Ownership InterestPresident/Administrator Aug 25, 2013 51%
Corporate OfficerPresident/Administator Aug 25, 2013 51%
Corporate DirectorPresident/Administrator Aug 25, 2013 51%
W-2 Managing EmployeePresident/Administrator Aug 25, 2013 50%
Operational/Managerial ControlPresident/Administrator Aug 25, 2013 51%
Mary Joy Triste Individual Corporate DirectorDirector of Patient Care Services Sep 15, 2019
W-2 Managing EmployeeDirector of Patient Care Services Sep 15, 2019
Evangeline Ward-Michayluk Individual 5% Or Greater Direct Ownership InterestSecretary Aug 25, 2013 49%
Corporate OfficerSecretary Aug 25, 2013 49%
Operational/Managerial ControlSecretary Aug 25, 2013 49%

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": "1378512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1487089579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7610",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913277610",
            "telephone_number": "818-359-9447",
            "fax_number": "805-522-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 YOSEMITE AVE STE 115",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635220",
            "telephone_number": "805-522-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERJOY HOSPICE CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "MICHAYLUK",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-359-9447",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.