Community Care and Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

461458002 Issued in CA

Legal business name

COMMUNITY CARE AND HOSPICE LLC

Practice address

4000 Calle Tecate Ste 114
Camarillo, CA 93012-5285

Phone

(805) 667-8558

Fax

(805) 384-0933

NPI assigned

Apr 10, 2013

Organization subpart

No

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

Authorized official

Name

Usha Kokatay, RN, BSN, MSN, DPCS

Title

Administrator, DPCS, Don

Phone

(805) 667-8558

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 751729

Legal name

COMMUNITY CARE AND HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 17, 2015

Last certification

Jul 16, 2021

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Enrollment address

4000 Calle Tecate
Ste 114
Camarillo, CA 93012-5285

Listed as

Community Care and Hospice, LLCCCN 751729

Ownership

For-Profit

Certified

Nov 17, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Robert Patrick Lum, M.D.

  • Radiation Oncology Physician
  • Oxnard, CA
  • NPI 1770589707

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1487097374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CALLE TECATE STE 114",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125285",
            "telephone_number": "805-667-8558",
            "fax_number": "805-384-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CALLE TECATE STE 114",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125285",
            "telephone_number": "805-667-8558",
            "fax_number": "805-384-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE AND HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "KOKATAY",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "ADMINISTRATOR, DPCS, DON",
        "authorized_official_telephone_number": "805-667-8558",
        "authorized_official_credential": "RN, BSN, MSN, DPCS"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "461458002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Marie Colina
• Maria Collier
• Heather Elizabeth Colligan
• Alexis Collins, ALEXIS COLLINS M.A.
• Clarissa Lee Collison
• Community Memorial Health System
• Community Memorial Health System
• Joe R Conahey, BT
• Concentra Primary Care of California
• Conejo Hospice Care, Inc

• Community Based Hospice Care Agency in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.

Verify at the official NPI Registry.