Free Spirit Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FREE SPIRIT HOSPICE, INC.

Practice address

5924 E Los Angeles Ave
R
Simi Valley, CA 93063-5526

Phone

(805) 823-4136

Fax

(805) 823-4137

NPI assigned

Sep 3, 2016

Organization subpart

No

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

Authorized official

Name

Aleksandra Dubina

Title

President

Phone

(818) 644-5357

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 921632

Legal name

FREE SPIRIT HOSPICE INC

Doing business as

AASTA HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 8, 2017

Last certification

Jun 8, 2017

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 19, 2016 in CA

Enrollment address

5924 E Los Angeles Ave
Ste R
Simi Valley, CA 93063-5526

Listed as

Aasta HospiceCCN 921632

Ownership

For-Profit

Certified

Jun 8, 2017

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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 5

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

• Roofan Alsayegh, MD

  • Hospitalist Physician
  • West Hills, CA
  • NPI 1477841641

  Hospice

  Care Compare affiliation
• Arinder Singh Chadha, MD, MBA, FACP

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1467480137

  Hospice

  Care Compare affiliation
• Frederick Stephen Lindberg, MD

  • Family Medicine Physician
  • Thousand Oaks, CA
  • NPI 1467499582

  Hospice

  Care Compare affiliation
• Vimal J Ponnezhan, MD

  • Pulmonary Disease Physician
  • Los Angeles, CA
  • NPI 1366653354

  Hospice

  Care Compare affiliation
• Rami M Shaarawy, M.D.

  • Internal Medicine Physician
  • Canoga Park, CA
  • NPI 1154494755

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1472860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472860800000",
    "number": "1487101739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 E LOS ANGELES AVE",
            "address_2": "R",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635526",
            "telephone_number": "805-823-4136",
            "fax_number": "805-823-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 E LOS ANGELES AVE",
            "address_2": "R",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635526",
            "telephone_number": "805-823-4136",
            "fax_number": "805-823-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE SPIRIT HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-03",
        "last_updated": "2016-09-03",
        "status": "A",
        "authorized_official_last_name": "DUBINA",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-644-5357"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Fredrickson, MA MFT
• Free Again Consulting
• Free Clinic of Simi Valley
• Free Clinic of Simi Valley
• Free Motion Therapeutics & Physical Therapy Inc.
• Karynne Fricke, M.A. CCC-SLP
• Marvin Friedman, PHARM.D.
• Serena Maye Friedman, M.D.
• Ariane Joy Fritz
• Renee Lynn Frumkin

• Community Based Hospice Care Agency in Simi Valley, CA
• Providers in Simi Valley, 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 Sep 3, 2016; 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.