NPIMap

Organization Active NPI

Enseguida Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Chatsworth, CA
National Provider Identifier
1609476472
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ENSEGUIDA HOSPICE CARE, INC.
Practice address
20945 Devonshire St Ste 105
Chatsworth, CA 91311-2370
Phone
(747) 237-7018
NPI assigned
Oct 29, 2020
Last updated
Jun 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Mrs. Luvie Jimenez, ADMINISTRATOR
Title
Ceo
Phone
(747) 237-7018

Specialties & licenses 1

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

Addresses

Primary practice location

20945 Devonshire St Ste 105
Chatsworth, CA 91311-2370

Mailing address

20945 Devonshire St Ste 105
Chatsworth, CA 91311-2370
Phone (747) 237-7018

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201109000702 CA Part A Provider - Hospice 0345650008 Practice locations: Chatsworth, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609476472. Details of each certification follow.

Hospice certification: CCN B31500

Legal name
ENSEGUIDA HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 20, 2021
Last certification
Aug 20, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 23, 2020 in CA
Enrollment address
20945 Devonshire St
Ste 105
Chatsworth, CA 91311-2370

Care Compare: Hospice

Medicare Care Compare
Listed as
Enseguida Hospice Care, IncCCN B31500 · All quality measures
Certified
Aug 20, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

20945 Devonshire St
Ste 105
Chatsworth, CA 91311
Phone (747) 237-7018

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Lilian Villareal Individual 5% Or Greater Direct Ownership Interest Mar 3, 2020 40%
Nonito Badong Individual 5% Or Greater Direct Ownership Interest Mar 3, 2020 20%
Luvie Jimenez Individual 5% Or Greater Direct Ownership Interest20 Mar 13, 2020
Operational/Managerial ControlPresident/Board Member Mar 13, 2020
Faith Granada Individual 5% Or Greater Direct Ownership Interest Mar 3, 2020 20%

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1609476472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20945 DEVONSHIRE ST STE 105",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112370",
            "telephone_number": "747-237-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20945 DEVONSHIRE ST STE 105",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112370",
            "telephone_number": "747-237-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSEGUIDA HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "LUVIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-237-7018",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

Verify at the official NPI Registry.