NPIMap

Organization Active NPI

Family Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Palm Springs, CA
National Provider Identifier
1497847479
Registry record updated Oct 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FAMILY HOSPICE CARE, LLC
Practice address
255 N. El Cielo Rd
Ste 300
Palm Springs, CA 92262-6986
Phone
(760) 674-3344
Fax
(760) 674-3372
NPI assigned
Sep 28, 2006
Last updated
Oct 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2011

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

Authorized official

Name
Colin G Robertson
Title
Administrator
Phone
(760) 674-3344

Specialties & licenses 1

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

Addresses

Primary practice location

255 N. El Cielo Rd
Ste 300
Palm Springs, CA 92262-6986

Mailing address

255 N. El Cielo Rd
Ste 300
Palm Springs, CA 92262-6986
Phone (760) 674-3344

Other identifiers 1

IdentifierTypeStateIssuer
HPC01798FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050801000691 CA Part A Provider - Hospice 0143258160 Practice locations: Palm Springs, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497847479. Details of each certification follow.

Hospice certification: CCN 051798

Legal name
FAMILY HOSPICE CARE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 1, 2006
Last certification
Jan 16, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jun 6, 2005 in CA
Enrollment address
255 N El Cielo Rd
# C-300
Palm Springs, CA 92262-6992

Care Compare: Hospice

Medicare Care Compare
Listed as
Family Hospice Care LLCCCN 051798 · All quality measures
Ownership
For-Profit
Certified
Nov 1, 2006
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1051798Family Hospice Care LLC255 N El Cielo Rd Ste 300, Palm Springs, CA 92262Certificate of waiverMar 9, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

255 N El Cielo Rd
#C300
Palm Springs, CA 92262
Phone (760) 674-3344

255 N El Cielo Rd
Ste 300
Palm Springs, CA 92262
Phone (760) 647-3344

255 N El Cielo Rd
Ste C300
Palm Springs, CA 92262
Phone (760) 674-3344

41590 Indian Trl
#A
Rancho Mirage, CA 92270
Phone (760) 674-3344

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Richard D Lipeles Individual Corporate Director Jun 6, 2005
Prime Healthcare Organization, Marina del Rey, CA Corporation 5% Or Greater Direct Ownership Interest Jun 6, 2005 100%
Marc a Hoffing Individual Corporate Director Jun 6, 2005
Richard N Merkin Individual 5% Or Greater Indirect Ownership Interest Jun 6, 2005
Jesus Gamboa Individual W-2 Managing EmployeeAdministrator Dec 1, 2021 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319241600000",
    "number": "1497847479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N. EL CIELO RD",
            "address_2": "STE 300",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626986",
            "telephone_number": "760-674-3344",
            "fax_number": "760-674-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N. EL CIELO RD",
            "address_2": "STE 300",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626986",
            "telephone_number": "760-674-3344",
            "fax_number": "760-674-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-10-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-674-3344"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01798F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.