Organization Active NPI

Dignity Hospice Care Inc

  • Community Based Hospice Care Agency
  • Upland, CA
National Provider Identifier
1568092435
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jul 24, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN D61517
Certified
Sep 12, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Beatriz Gabrielle Individual 5% Or Greater Direct Ownership Interest May 20, 2023 33.33%
Corporate OfficerOwner 33.33%, Cfo,/Treasurer, Di May 20, 2023 100%
Corporate DirectorOwner 33.33%, Cfo,/Treasurer, Di May 20, 2023 100%
W-2 Managing EmployeeOwner 33.33%, Cfo,/Treasurer, Di May 20, 2023 100%
Operational/Managerial ControlOwner 33.33%, Cfo,/Treasurer, Di May 20, 2023 100%
Florence Aubrey Grace Mojica Individual 5% Or Greater Direct Ownership Interest May 20, 2023 33.33%
Corporate OfficerOwner 33.33% Coo/Vice President, May 20, 2023 100%
Corporate DirectorOwner 33.33% Coo/Vice President, May 20, 2023 100%
W-2 Managing EmployeeOwner 33.33% Coo/Vice President, May 20, 2023 100%
Operational/Managerial ControlOwner 33.33% Coo/Vice President, May 20, 2023 100%
Denise Elaine Hollis Individual 5% Or Greater Direct Ownership Interest May 20, 2023 33.33%
Corporate OfficerOwner 33.33%, Ceo/President, Dir May 20, 2023 33.33%
Corporate DirectorOwner 33.33%, Ceo/President, Dir May 20, 2023 33.33%
W-2 Managing EmployeeOwner 33.33%, Ceo/President, Dir May 20, 2023 33.33%
Operational/Managerial ControlOwner 33.33%, Ceo/President, Dir 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

Verify at the official NPI Registry.