Salute Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SALUTE HOSPICE INC

Practice address

25835 Narbonne Ave Ste 280C
Lomita, CA 90717-7206

Phone

(818) 638-8522

Fax

(818) 230-9004

NPI assigned

Apr 27, 2011

Last updated

Nov 12, 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

Dr. David G Little, DPMNPI 1841395001

Title

Ceo

Phone

(818) 638-8522

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568753358. Details of each certification follow.

• CCN 751706 Hospice · Active · Details

Hospice certification: CCN 751706

Legal name

SALUTE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 19, 2015

Last certification

Aug 16, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 11, 2010 in CA

Enrollment address

25835 Narbonne Ave
Ste 280C
Lomita, CA 90717-7206

Listed as

Salute Hospice Inc.CCN 751706 · All quality measures

Ownership

For-Profit

Certified

Jun 19, 2015

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: hello@salutehospice.com

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.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• David G. Little, DPM

  • Podiatrist
  • West Hollywood, CA
  • NPI 1841395001

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership
• Violeta B. Vicencio, MD

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1679699193

  Corporate Director

  CMS ownership

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.

• David G. Little, DPM

  • Podiatrist
  • West Hollywood, CA
  • NPI 1841395001
  NPD Authorized official
• Violeta B. Vicencio, MD

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1679699193
  NPD (past)

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1568753358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25835 NARBONNE AVE STE 280C",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907177206",
            "telephone_number": "818-638-8522",
            "fax_number": "818-230-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25835 NARBONNE AVE STE 280C",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907177206",
            "telephone_number": "818-638-8522",
            "fax_number": "818-230-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUTE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-638-8522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "550002127",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568753358",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@salutehospice.com",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure email",
            "address_1": "25835 Narbonne Ave Ste 280C",
            "city": "Lomita",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907177206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community Based Hospice Care Agency in Lomita, CA
• Providers in Lomita, 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 Nov 12, 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.