Collective Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COLLECTIVE HOSPICE CARE, INC.

Practice address

16220 Manning Way Ste 103
Cerritos, CA 90703-2223

Phone

(800) 615-8657

Fax

(888) 789-0799

NPI assigned

Dec 7, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Marcela Clemente

Title

Ceo

Phone

(800) 615-8657

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B41566

Legal name

COLLECTIVE HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 24, 2022

Last certification

Jun 24, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 4, 2020 in CA

Enrollment address

14547 Titus St
Ste 215
Panorama City, CA 91402-4936

Listed as

Collective Hospice Care, IncCCN B41566

Certified

Jun 24, 2022

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 2

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

• Alejandro Lazaro Gonzalez

  • General Practice Physician
  • South Gate, CA
  • NPI 1538108097

  Hospice

  Care Compare affiliation
• Hung M Nguyen, D.O.

  • Family Medicine Physician
  • Orange, CA
  • NPI 1447284526

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1497351217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16220 MANNING WAY STE 103",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032223",
            "telephone_number": "800-615-8657",
            "fax_number": "888-789-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 MANNING WAY STE 103",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032223",
            "telephone_number": "800-615-8657",
            "fax_number": "888-789-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLECTIVE HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "CLEMENTE",
        "authorized_official_first_name": "MARCELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-615-8657",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin John Sabandal Codilla, LVN
• Rowena Cole, NP MSN
• Stephanie Sue Coleman, R.N.
• Elizabeth Collazo
• Justine Collazo, LMFT
• College Hospital Cerritos
• College Hospital, Inc.
• Robert A Collen, M.D.
• Neil S Collins, LMFT
• Community Family Guidance Center

• Community Based Hospice Care Agency in Cerritos, CA
• Providers in Cerritos, 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 Apr 18, 2023; 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.