NPIMap

Organization Active NPI

Life Touch Hospice

Doing business as Hope Springs Hospice & Palliative Care

  • Community Based Hospice Care Agency
  • Anaheim, CA
National Provider Identifier
1497354039
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LIFE TOUCH HOSPICE
Doing business as
Hope Springs Hospice & Palliative Care
Practice address
9778 Katella Ave Ste 205
Anaheim, CA 92804-6447
Phone
(714) 867-6979
Fax
(714) 333-4223
NPI assigned
Oct 24, 2020
Last updated
Sep 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Tamara Jennings
Title
Administrator
Phone
(800) 413-3090

Specialties & licenses 1

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

Addresses

Primary practice location

9778 Katella Ave Ste 205
Anaheim, CA 92804-6447

Mailing address

9778 Katella Ave Ste 205
Anaheim, CA 92804-6447
Phone (800) 413-3090

Other names 1

  • Hope Springs Hospice & Palliative Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201119002397 CA Part A Provider - Hospice 4183035322 Practice locations: Rancho Cucamonga, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497354039. Details of each certification follow.

Hospice certification: CCN B31650

Legal name
LIFE TOUCH HOSPICE
Doing business as
HOPE SPRINGS HOSPICE & PALLIATIVE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 19, 2022
Last certification
Feb 19, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 3, 2020 in CA
Enrollment address
10390 Commerce Center Dr
Ste 260a
Rancho Cucamonga, CA 91730-5860

Care Compare: Hospice

Medicare Care Compare
Listed as
Hope Springs Hospice & Palliative CareCCN B31650 · All quality measures
Certified
Feb 19, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

9778 Katella Ave
Ste 205
Anaheim, CA 92804
Phone (714) 867-6973

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Gerald Waters Individual 5% Or Greater Direct Ownership Interest Dec 1, 2022 50%
Corporate OfficerCfo Dec 1, 2022 50%
Corporate DirectorCfo Dec 1, 2022 50%
Operational/Managerial ControlCfo Dec 1, 2022 50%
Tamara Jennings Individual 5% Or Greater Direct Ownership Interest Dec 1, 2022 50%
Corporate OfficerCeo/Administrator/Secretary Dec 1, 2022 50%
Corporate DirectorCeo/Administrator/Secretary Dec 1, 2022 50%
Operational/Managerial ControlCeo/Administrator/Secretary Dec 1, 2022 50%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1603497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1497354039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9778 KATELLA AVE STE 205",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046447",
            "telephone_number": "800-413-3090",
            "fax_number": "800-413-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9778 KATELLA AVE STE 205",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046447",
            "telephone_number": "714-867-6979",
            "fax_number": "714-333-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TOUCH HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-24",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "800-413-3090"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Springs Hospice & Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.