NPIMap

Organization Active NPI

Calcare Hospice, Inc.

  • Community Based Hospice Care Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1518339548
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CALCARE HOSPICE, INC.
Practice address
9140 Haven Ave Ste 120
Rancho Cucamonga, CA 91730-5414
Phone
(909) 579-0007
Fax
(909) 579-0001
NPI assigned
Oct 29, 2015
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FOOTHILL ACCOUNTABLE CARE MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Ms. Mary Jean Guanzon, RN
Title
President
Phone
(909) 398-1550

Specialties & licenses 1

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

Addresses

Primary practice location

9140 Haven Ave Ste 120
Rancho Cucamonga, CA 91730-5414

Mailing address

840 Towne Center Dr
Pomona, CA 91767-5900
Phone (909) 579-0007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160407001520 CA Part A Provider - Hospice 3476851411 Practice locations: Rancho Cucamonga, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518339548. Details of each certification follow.

Hospice certification: CCN 751557

Legal name
CALCARE HOSPICE, INC.
Doing business as
CALCARE PALLIATIVE SERVICES
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 14, 2014
Last certification
Apr 21, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 19, 2015 in CA
Enrollment address
9140 Haven Ave
Ste 120
Rancho Cucamonga, CA 91730-5414

Care Compare: Hospice

Medicare Care Compare
Listed as
Calcare Palliative ServicesCCN 751557 · All quality measures
Ownership
For-Profit
Certified
Aug 14, 2014
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
05D2061602Calcare Hospice, Inc9140 Haven Avenue Ste120, Rancho Cucamonga, CA 91730Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory
Part of
Foothill Accountable Care Medical Group Inc

Locations

9140 Haven Ave
Ste 120
Rch Cucamonga, CA 91730
Phone (909) 579-0007

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Ram P Jeereddy Individual Corporate OfficerVice President/Secretary Oct 19, 2015 50%
Operational/Managerial ControlBoard Member Jan 4, 2016 50%
Chuang-Ti Hung Individual 5% Or Greater Indirect Ownership Interest Dec 23, 2015 6.79%
Foothill Accountable Care Medical Group, Inc Organization, Pomona, CA Corporation 5% Or Greater Direct Ownership Interest Dec 23, 2015 100%
Mary J Guanzon Individual Corporate OfficerPresident/Ceo Oct 19, 2015 50%
Operational/Managerial ControlAdministrator Jan 4, 2016 50%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1518339548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-579-0007",
            "fax_number": "909-579-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 HAVEN AVE STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305414",
            "telephone_number": "909-579-0007",
            "fax_number": "909-579-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCARE HOSPICE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOTHILL ACCOUNTABLE CARE MEDICAL GROUP, INC.",
        "enumeration_date": "2015-10-29",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "GUANZON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-398-1550",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.