Ideal Palliative and Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

IDEAL PALLIATIVE AND HOSPICE CARE, INC.

Doing business as

IDEAL HOSPICE

Practice address

123 S. Mission Drive
Unit F
San Gabriel, CA 91776-1163

Phone

(626) 310-0990

Fax

(626) 310-0991

NPI assigned

Jun 28, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Haycelyn O Madlangbayan

Title

Ceo

Phone

(626) 310-0990

Specialties & licenses 1

Addresses

Other names 1

• IDEAL HOSPICE Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B41689

Legal name

IDEAL PALLIATIVE AND HOSPICE CARE, INC.

Doing business as

IDEAL HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 22, 2022

Last certification

Apr 22, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 24, 2015 in CA

Enrollment address

420 N Montebello Blvd
Ste 200
Montebello, CA 90640-4274

Listed as

Ideal Palliative and Hospice Care IncCCN B41689 · All quality measures

Certified

Apr 22, 2022

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

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.

Affiliated clinicians 1

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

• Jon P Kea, M,D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1952551228

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1609227875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S. MISSION DRIVE",
            "address_2": "UNIT F",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761163",
            "telephone_number": "626-310-0990",
            "fax_number": "626-310-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S. MISSION DRIVE",
            "address_2": "UNIT F",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761163",
            "telephone_number": "626-310-0990",
            "fax_number": "626-310-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL PALLIATIVE AND HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "MADLANGBAYAN",
        "authorized_official_first_name": "HAYCELYN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-310-0990",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IDEAL HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IDEAL HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in San Gabriel, CA
• Providers in San Gabriel, 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 Jun 24, 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.