Organization Active NPI

Wondrous Love Hospice Care LLC

  • Community Based Hospice Care Agency
  • Anaheim, CA
National Provider Identifier
1598312928
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
WONDROUS LOVE HOSPICE CARE LLC
Practice address
1811 W Katella Ave Ste 109
Anaheim, CA 92804-6657
Phone
(714) 912-2510
NPI assigned
Aug 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Rodriguez
Title
Manager
Phone
(951) 595-6055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1811 W Katella Ave Ste 109
Anaheim, CA 92804-6657

Mailing address

1811 W Katella Ave Ste 109
Anaheim, CA 92804-6657

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200813002681 CA Part A Provider - Hospice 9335561380 Practice locations: Anaheim, CA

Hospice certification: CCN B31562

Legal name
WONDROUS LOVE HOSPICE CARE LLC
Doing business as
VALOR HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 28, 2021
Last certification
Apr 28, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jun 18, 2019 in CA
Enrollment address
1811 W Katella Ave
Ste 109
Anaheim, CA 92804-6657

Care Compare: Hospice

Medicare Care Compare
Listed as
Home Connect Hospice SocalCCN B31562 · All quality measures
Certified
Apr 28, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2333092Wondrous Love Hospice Care Dba Home Connect Hospic1811 W Katella Ave, Ste 109, Anaheim, CA 92804Certificate of waiverOct 28, 2027

National Provider Directory

National Provider Directory

Locations

1811 W Katella Ave
Ste 109
Anaheim, CA 92804
Phone (714) 912-2510

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Valor SE LLC Organization, Temecula, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 1, 2023 100%
Operational/Managerial Control Sep 1, 2023
Abdelsalam M Mogasbe Individual Corporate DirectorMedical Director Sep 1, 2023
David T Rodriguez Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2023 10%
Corporate OfficerManager of Valor SE LLC Sep 1, 2023
W-2 Managing EmployeeAd; Sep 1, 2023
Shannon Errington Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2023 80%
Corporate OfficerManager of Valor SE LLC Sep 1, 2023
Javier Blanco Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2023 10%
Corporate OfficerManager of Valor SE LLC Sep 1, 2023

Owners & managing parties with NPI records 1

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1598312928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 W KATELLA AVE STE 109",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 W KATELLA AVE STE 109",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046657",
            "telephone_number": "714-912-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDROUS LOVE HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-595-6055"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.