Organization Active NPI

Essence Home Care LLC

  • Community Based Hospice Care Agency
  • Irvine, CA
National Provider Identifier
1528415494
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
550002714 Issued in CA
Legal business name
ESSENCE HOME CARE LLC
Practice address
32 Executive Park Ste 150
Irvine, CA 92614-4722
Phone
(949) 723-0585
Fax
(949) 356-7224
NPI assigned
May 19, 2016
Last updated
Feb 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Emily Michelle Davis, RN
Title
Executive Director
Phone
(949) 723-0585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 550002714 CA Primary

Addresses

Primary practice location

32 Executive Park Ste 150
Irvine, CA 92614-4722

Mailing address

32 Executive Park Ste 150
Irvine, CA 92614-4722
Phone (949) 723-0585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200113001011 CA Part A Provider - Hospice 5294160677 Practice locations: Irvine, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528415494. Details of each certification follow.

Hospice certification: CCN A01770

Legal name
ESSENCE HOME CARE LLC
Doing business as
ESSENCE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 23, 2020
Last certification
Apr 23, 2020
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Sep 16, 2016 in CA
Enrollment address
32 Executive Park
Ste 150
Irvine, CA 92614-4722

Care Compare: Hospice

Medicare Care Compare
Listed as
Essence HospiceCCN A01770 · All quality measures
Ownership
Other
Certified
Apr 23, 2020
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
05D2067483Essence Home Care LLC32 Executive Park Ste 150, Irvine, CA 92614Certificate of waiverOct 15, 2027

National Provider Directory

National Provider Directory

Locations

711 W 17th St
Ste C2
Costa Mesa, CA 92627
Phone (917) 415-9851

32 Executive Park
Ste 150
Irvine, CA 92614
Phone (949) 723-0585

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Emily Davis Individual 5% Or Greater Direct Ownership InterestExecutive Director Jan 21, 2022 7.58%
Operational/Managerial ControlExecutive Director, Administrato Jan 18, 2021 100%
Dana Rambo Individual Corporate DirectorDirector of Clinical Services Aug 1, 2024 100%
Operational/Managerial ControlDirector of Clinical Services Aug 1, 2024 100%
Ashley E Mires Individual Operational/Managerial ControlMedical Director Apr 1, 2022 100%
Aran Shelly Individual 5% Or Greater Direct Ownership Interest Nov 14, 2018 69.75%
Corporate OfficerCeo Nov 14, 2018 69.75%
Essence Home Care LLC Organization, Irvine, CA LLC, Medical provider/supplier General Partnership Interest Sep 17, 2021 100%
Ruben Figueroa Individual 5% Or Greater Direct Ownership Interest Sep 22, 2022 18.09%

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 2

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": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1528415494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 EXECUTIVE PARK STE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144722",
            "telephone_number": "949-723-0585",
            "fax_number": "949-356-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 EXECUTIVE PARK STE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144722",
            "telephone_number": "949-723-0585",
            "fax_number": "949-356-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENCE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-723-0585",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550002714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.