Allied Care Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ALLIED CARE HOSPICE INC

Practice address

9007 Arrow Route Suite 215
Rancho Cucamonga, CA 91730

Phone

(909) 989-6246

Fax

(909) 999-6947

NPI assigned

May 22, 2014

Last updated

May 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ramon Abeto Sedano, RN, MPA

Title

President/Ceo

Phone

(909) 989-6246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508278755. Details of each certification follow.

• CCN 751702 Hospice · Active · Details

Hospice certification: CCN 751702

Legal name

ALLIED CARE HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 29, 2015

Last certification

Sep 20, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Mar 17, 2014 in CA

Enrollment address

8220 Katella Ave
Ste 210
Stanton, CA 90680-3290

Listed as

Allied Care Hospice, IncCCN 751702 · All quality measures

Ownership

For-Profit

Certified

Sep 29, 2015

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

Locations

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.

Owners & managing parties with NPI records 1

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

• Dante Atienza Banta, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1912071085

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 2

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

• Andres Gonzalez, M.D.

  • Family Medicine Physician
  • Montclair, CA
  • NPI 1669892147

  Hospice

  Care Compare affiliation
• Prode P Pascual, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Norwalk, CA
  • NPI 1558454595

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1508278755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9007 ARROW ROUTE SUITE 215",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-989-6246",
            "fax_number": "909-999-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9007 ARROW ROUTE SUITE 215",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-989-6246",
            "fax_number": "909-999-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED CARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "SEDANO",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "ABETO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "909-989-6246",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, MPA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.