Organization Active NPI

Excellence Hospice Providers, Inc.

  • Community Based Hospice Care Agency
  • Chino, CA
National Provider Identifier
1649614637
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
EXCELLENCE HOSPICE PROVIDERS, INC.
Practice address
12598 Central Ave Ste 122
Chino, CA 91710-3500
Phone
(909) 590-0348
Fax
(909) 614-7196
NPI assigned
Apr 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Thi Anh Doan
Title
Administrator
Phone
(909) 590-0348

Specialties & licenses 1

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

Addresses

Primary practice location

12598 Central Ave Ste 122
Chino, CA 91710-3500

Mailing address

12598 Central Ave Ste 122
Chino, CA 91710-3500
Phone (909) 590-0348

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140217000222 CA Part A Provider - Hospice 4385873355 Practice locations: Chino, CA

Hospice certification: CCN 751633

Legal name
EXCELLENCE HOSPICE PROVIDERS, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 21, 2015
Last certification
Nov 11, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 13, 2013 in CA
Enrollment address
11760 Central Avenue
Suite 201
Chino, CA 91710-1909

Care Compare: Hospice

Medicare Care Compare
Listed as
Excellence Hospice Providers IncCCN 751633 ยท All quality measures
Ownership
For-Profit
Certified
Apr 21, 2015
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

11760 Central Ave
Ste 201
Chino, CA 91710
Phone (909) 590-0348

12598 Central Ave
Ste 122
Chino, CA 91710
Phone (909) 766-0096

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Geraldine Lasala-Doan Individual 5% Or Greater Direct Ownership Interest Mar 13, 2013 50%
Corporate OfficerSecretary Mar 13, 2013 50%
W-2 Managing EmployeeQuality Assurance Director Mar 13, 2013 50%
Thi a Doan Individual 5% Or Greater Direct Ownership Interest Mar 13, 2013 50%
Corporate OfficerSecretary Mar 13, 2013 50%
W-2 Managing EmployeeAssistant Administrator Mar 13, 2013 50%

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": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1649614637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12598 CENTRAL AVE STE 122",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103500",
            "telephone_number": "909-590-0348",
            "fax_number": "909-614-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12598 CENTRAL AVE STE 122",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103500",
            "telephone_number": "909-590-0348",
            "fax_number": "909-614-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE HOSPICE PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "THI",
        "authorized_official_middle_name": "ANH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-590-0348"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.