Active NPI
Innerjoy Hospice Care Incorporated
- Community Based Hospice Care Agency
- Simi Valley, CA
National Provider Identifier
1487089579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- For-Profit
- Certified
- Dec 23, 2014
- 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 |
|---|---|---|---|
| 05D2073716 | Innerjoy Hospice Care, Inc | Certificate of waiver | Feb 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Craig M. Michayluk | 5% Or Greater Direct Ownership Interest | Aug 25, 2013 | 51% |
| Corporate Officer | Aug 25, 2013 | 51% | |
| Corporate Director | Aug 25, 2013 | 51% | |
| W-2 Managing Employee | Aug 25, 2013 | 50% | |
| Operational/Managerial Control | Aug 25, 2013 | 51% | |
| Mary Joy Triste | Corporate Director | Sep 15, 2019 | |
| W-2 Managing Employee | Sep 15, 2019 | ||
| Evangeline Ward-Michayluk | 5% Or Greater Direct Ownership Interest | Aug 25, 2013 | 49% |
| Corporate Officer | Aug 25, 2013 | 49% | |
| Operational/Managerial Control | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.