Active NPI
Dignity Hospice Care Inc
- Community Based Hospice Care Agency
- Upland, CA
National Provider Identifier
1568092435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- DIGNITY HOSPICE CARE INC
- Practice address
- 222 N Mountain Ave Suite
Suite 215-a
Upland, CA 91786-5746 - Phone
- (909) 677-2331
- Fax
- (909) 677-2333
- NPI assigned
- Jan 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nieva J Harrison
- Title
- Ceo/President
- Phone
- (909) 677-2331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
222 N Mountain Ave Suite
Suite 215-a
Upland, CA 91786-5746
Mailing address
222 N Mountain Ave Suite
Suite 215-a
Upland, CA 91786-5746
Phone (422) 281-8356
Other names 1
- Living Legacy Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201223000064 | CA | Part A Provider - Hospice | 5193137891 | Practice locations: Carlsbad, CA |
Hospice certification: CCN D61517
- Legal name
- DIGNITY HOSPICE CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 12, 2023
- Last certification
- Aug 11, 2023
- Organization structure
- Corporation
- Incorporated
- Nov 20, 2019 in CA
- Enrollment address
- 2870 Whiptail Loop E
Ste 214
Carlsbad, CA 92010-6767
Care Compare: Hospice
Medicare Care Compare- Listed as
- Dignity Hospice Care Inc
- Certified
- Sep 12, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
831 Highland Springs Ave
Ste 303F
Beaumont, CA 92223
2870 Whiptail Loop
Ste 214
Carlsbad, CA 92010
Phone (442) 281-8356
222 N Mountain Ave
Ste 215A
Upland, CA 91786
Phone (909) 677-2331
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Beatriz Gabrielle | 5% Or Greater Direct Ownership Interest | May 20, 2023 | 33.33% |
| Corporate Officer | May 20, 2023 | 100% | |
| Corporate Director | May 20, 2023 | 100% | |
| W-2 Managing Employee | May 20, 2023 | 100% | |
| Operational/Managerial Control | May 20, 2023 | 100% | |
| Florence Aubrey Grace Mojica | 5% Or Greater Direct Ownership Interest | May 20, 2023 | 33.33% |
| Corporate Officer | May 20, 2023 | 100% | |
| Corporate Director | May 20, 2023 | 100% | |
| W-2 Managing Employee | May 20, 2023 | 100% | |
| Operational/Managerial Control | May 20, 2023 | 100% | |
| Denise Elaine Hollis | 5% Or Greater Direct Ownership Interest | May 20, 2023 | 33.33% |
| Corporate Officer | May 20, 2023 | 33.33% | |
| Corporate Director | May 20, 2023 | 33.33% | |
| W-2 Managing Employee | May 20, 2023 | 33.33% | |
| Operational/Managerial Control | May 20, 2023 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753315200000",
"number": "1568092435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 N MOUNTAIN AVE SUITE",
"address_2": "SUITE 215-A",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865746",
"telephone_number": "422-281-8356",
"fax_number": "442-281-8357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N MOUNTAIN AVE SUITE",
"address_2": "SUITE 215-A",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865746",
"telephone_number": "909-677-2331",
"fax_number": "909-677-2333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGNITY HOSPICE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-20",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "NIEVA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "909-677-2331"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Living Legacy Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.