Excellent Palliative and Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EXCELLENT PALLIATIVE AND HOSPICE CARE, INC.

Practice address

10600 Sepulveda Blvd Ste 106
Mission Hills, CA 91345-1900

Phone

(818) 403-6295

Fax

(818) 403-6206

NPI assigned

Jul 23, 2020

Last updated

Jul 23, 2020By 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. Julius Mendoza

Title

Ceo/Cfo/Secretary

Phone

(818) 403-6295

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 1558970871. Details of each certification follow.

• CCN B41616 Hospice · Active · Details

Hospice certification: CCN B41616

Legal name

EXCELLENT PALLIATIVE AND HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 11, 2022

Last certification

Jul 11, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 21, 2019 in CA

Enrollment address

10600 Sepulveda Blvd
Ste 106
Mission Hills, CA 91345-1900

Listed as

Excellent Palliative and Hospice Care, IncCCN B41616 · All quality measures

Certified

Jul 11, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Affiliated clinicians 2

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

• Jilin Bai, M.D.

  • General Practice Physician
  • Monterey Park, CA
  • NPI 1003102856

  Hospice

  Care Compare affiliation
• Michael A Silao, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1497706147

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1558970871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 SEPULVEDA BLVD STE 106",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451900",
            "telephone_number": "818-403-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 SEPULVEDA BLVD STE 106",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451900",
            "telephone_number": "818-403-6295",
            "fax_number": "818-403-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT PALLIATIVE AND HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_title_or_position": "CEO/CFO/SECRETARY",
        "authorized_official_telephone_number": "818-403-6295",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Mari Z. Esparrago, M.D.
• Lorraine Margaret Estronick, AGACNP-BC
• Evan Jonathan Valle LLC
• Evan Jonathan Valle PC
• Jennifer Gloria Evangelista, LMFT
• Exclusive Recovery Center Inc
• Facey Medical Group a Medical Corporation
• Mehdi Fakhrai, MD
• Danyl L Fakhrutdinov, PA-C
• Ludmila Falikovich, OT/L

• Community Based Hospice Care Agency in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.