VMKJ Healthcare LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VMKJ HEALTHCARE LLC

Doing business as

Life touch care

Practice address

10031 Lampson Ave
Garden Grove, CA 92840-4716

Phone

(714) 591-5106

Fax

(800) 498-1631

NPI assigned

Dec 30, 2019

Last updated

Jan 25, 2024By 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. Rod Alvarado

Title

Ceo

Phone

(714) 591-5106

Specialties & licenses 1

Addresses

Other names 1

• Life touch care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568001162. Details of each certification follow.

• CCN A11691 Hospice · Active · Details

Hospice certification: CCN A11691

Legal name

VMKJ HEALTHCARE LLC

Doing business as

LIFE TOUCH CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 15, 2021

Last certification

Feb 15, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Oct 30, 2019 in CA

Enrollment address

10031 Lampson Ave
Garden Grove, CA 92840-4716

Listed as

Life Touch CareCCN A11691 · All quality measures

Ownership

For-Profit

Certified

Feb 15, 2021

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.

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1568001162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10031 LAMPSON AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404716",
            "telephone_number": "714-591-5106",
            "fax_number": "800-498-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 LAMPSON AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404716",
            "telephone_number": "714-591-5106",
            "fax_number": "800-498-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VMKJ HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "ROD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-591-5106",
        "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": [
        {
            "organization_name": "Life touch care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.