Organization Active NPI

Del Rosa Hospice and Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • Rancho Mirage, CA
National Provider Identifier
1518496348
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DEL ROSA HOSPICE AND PALLIATIVE CARE, INC.
Practice address
69846 Highway 111 Ste D
Rancho Mirage, CA 92270-2857
Phone
(760) 933-3000
Fax
(442) 232-4944
NPI assigned
Jun 6, 2017
Last updated
Mar 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Authorized official

Name
Ms. Maria Santos
Title
President/Ceo
Phone
(760) 933-3000

Specialties & licenses 1

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

Addresses

Primary practice location

69846 Highway 111 Ste D
Rancho Mirage, CA 92270-2857

Mailing address

69846 Highway 111 Ste D
Rancho Mirage, CA 92270-2857
Phone (760) 933-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170926003282 CA Part A Provider - Hospice 1951675172 Practice locations: San Bernardino, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518496348. Details of each certification follow.

Hospice certification: CCN A01785

Legal name
DEL ROSA HOSPICE AND PALLIATIVE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 16, 2020
Last certification
Jul 16, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
May 12, 2017 in CA
Enrollment address
2601 Del Rosa Ave
Ste 108
San Bernardino, CA 92404-4413

Care Compare: Hospice

Medicare Care Compare
Listed as
Del Rosa Hospice and Palliative Care IncCCN A01785 · All quality measures
Ownership
For-Profit
Certified
Jul 16, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

69846 Highway 111
Ste D
Rancho Mirage, CA 92270
Phone (760) 321-0967

2601 Del Rosa Ave
Ste 108
San Bernardino, CA 92404
Phone (909) 271-8377

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Lusine Boyajyan Individual 5% Or Greater Direct Ownership Interest May 12, 2017 100%
Corporate OfficerCeo May 12, 2017 100%
Corporate DirectorChairman of the Board May 12, 2017 100%
W-2 Managing EmployeePresident May 12, 2017 100%

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": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1518496348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69846 HIGHWAY 111 STE D",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702857",
            "telephone_number": "760-933-3000",
            "fax_number": "442-232-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69846 HIGHWAY 111 STE D",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702857",
            "telephone_number": "760-933-3000",
            "fax_number": "442-232-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL ROSA HOSPICE AND PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "760-933-3000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.