NPIMap

Organization Active NPI

Hoag Hospice LLC

  • Community Based Hospice Care Agency
  • Orange, CA
National Provider Identifier
1619255106
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOAG HOSPICE LLC
Practice address
2230 W Chapman Ave # 135
Orange, CA 92868-2333
Phone
(714) 460-2219
Fax
(714) 385-2856
NPI assigned
Aug 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Jeff Allen Hammond
Title
Director
Phone
(949) 836-3835

Specialties & licenses 1

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

Addresses

Primary practice location

2230 W Chapman Ave # 135
Orange, CA 92868-2333

Mailing address

2230 W Chapman Ave # 135
Orange, CA 92868-2333
Phone (714) 460-2219

Other names 1

  • N/A Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111114000048 CA Part A Provider - Hospice 1355515164 Practice locations: Newport Beach, CA

Hospice certification: CCN 551666

Legal name
HOAG HOSPICE LLC
Doing business as
HOAG HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 11, 2012
Last certification
Dec 16, 2021
Ownership / control type
Non-Profit - Church
Organization structure
LLCNon-profit
Incorporated
Apr 1, 2011 in CA
Enrollment address
4041 Macarthur Blvd
Ste 105
Newport Beach, CA 92660-2512

Care Compare: Hospice

Medicare Care Compare
Listed as
Hoag Hospice, LLCCCN 551666
Ownership
Non-Profit
Certified
Jul 11, 2012
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2230 W Chapman Ave
#135
Orange, CA 92868
Phone (714) 460-2219

2230 W Chapman Ave
Ste 135
Orange, CA 92868

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
Jeffrey a Hammond Individual W-2 Managing EmployeeAdministrator Dec 29, 2020
Andrew R Guarni Individual Corporate OfficerSenior Vice President and Chief Dec 29, 2020
Corporate DirectorSenior Vice President and Chief Dec 29, 2020
Hoag at Home LLC Organization, Newport Beach, CA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Dec 29, 2020 100%
Hoag Memorial Hospital Presbyterian Organization, Newport Beach, CA Non-profit 5% Or Greater Indirect Ownership Interest Dec 29, 2020 100%
Michael Hospice Haga Individual W-2 Managing EmployeeMD; Mar 1, 2021 10%

Owners & managing parties with NPI records 3

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1619255106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 W CHAPMAN AVE # 135",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682333",
            "telephone_number": "714-460-2219",
            "fax_number": "714-385-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 W CHAPMAN AVE # 135",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682333",
            "telephone_number": "714-460-2219",
            "fax_number": "714-385-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOAG HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-836-3835"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "N/A",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.