Organization Active NPI

True Care Hospice of Northern California, Inc.

  • Community Based Hospice Care Agency
  • Citrus Heights, CA
National Provider Identifier
1508307380
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TRUE CARE HOSPICE OF NORTHERN CALIFORNIA, INC.
Practice address
6375 Auburn Blvd Ste 100
Citrus Heights, CA 95621-5203
Phone
(916) 277-0433
Fax
(916) 277-0455
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Mike Fayfel
Title
Ceo
Phone
(916) 277-0433

Specialties & licenses 1

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

Addresses

Primary practice location

6375 Auburn Blvd Ste 100
Citrus Heights, CA 95621-5203

Mailing address

6375 Auburn Blvd Ste 100
Citrus Heights, CA 95621-5203
Phone (916) 277-0433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170404001932 CA Part A Provider - Hospice 5395021448 Practice locations: Citrus Heights, CA

Hospice certification: CCN A01761

Legal name
TRUE CARE HOSPICE OF NORTHERN CALIFORNIA, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 4, 2020
Last certification
Jun 4, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 17, 2017 in CA
Enrollment address
6375 Auburn Blvd
Ste 100
Citrus Heights, CA 95621-5203

Care Compare: Hospice

Medicare Care Compare
Listed as
True Care Hospice of Northern California, IncCCN A01761
Ownership
For-Profit
Certified
Jun 4, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4813 El Camino Ave
Ste A
Carmichael, CA 95608
Phone (707) 738-8747

6375 Auburn Blvd
Ste 100
Citrus Heights, CA 95621
Phone (916) 277-0433

1024 Iron Point Rd
Folsom, CA 95630
Phone (818) 523-1576

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Jeremy I Grosser Individual Contracted Managing EmployeeMD; May 5, 2023
Tali F Fayfel Individual Contracted Managing EmployeeAd; Jan 1, 2018
Mike G Fayfel Individual 5% Or Greater Direct Ownership Interest Jan 1, 2021 100%
Corporate OfficerCeo-Chairman of Board Jan 1, 2021 100%
Corporate DirectorCeo-Chairman of Board Jan 1, 2021 100%
Operational/Managerial ControlCeo Jan 1, 2021 100%

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1508307380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 AUBURN BLVD STE 100",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956215203",
            "telephone_number": "916-277-0433",
            "fax_number": "916-277-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 AUBURN BLVD STE 100",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956215203",
            "telephone_number": "916-277-0433",
            "fax_number": "916-277-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE CARE HOSPICE OF NORTHERN CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "FAYFEL",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-277-0433"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.