Organization Active NPI

Holistic Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • Oakland, CA
National Provider Identifier
1649638396
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOLISTIC PALLIATIVE CARE, INC.
Practice address
5707 Redwood Rd Ste 1
Oakland, CA 94619-2400
Phone
(510) 285-7800
Fax
(510) 298-0001
NPI assigned
Feb 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Zenaida PenetranteNPI 1710732011
Title
Contact Person
Phone
(510) 285-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5707 Redwood Rd Ste 1
Oakland, CA 94619-2400

Mailing address

5707 Redwood Rd Ste 1
Oakland, CA 94619-2400
Phone (510) 285-7800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180306000000 CA Part A Provider - Hospice 5092076117 Practice locations: Oakland, CA

Hospice certification: CCN 921789

Legal name
HOLISTIC PALLIATIVE CARE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 7, 2018
Last certification
Sep 10, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 20, 2016 in CA
Enrollment address
5707 Redwood Rd
Ste 1
Oakland, CA 94619-2400

Care Compare: Hospice

Medicare Care Compare
Listed as
Holistic Palliative Care, IncCCN 921789
Ownership
For-Profit
Certified
Sep 7, 2018
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
05D2122463Holistic Palliative Care, Inc5707 Redwood Rd Ste 1, Oakland, CA 94619Certificate of waiverNov 28, 2026

National Provider Directory

National Provider Directory

Locations

5707 Redwood Rd
Ste 1
Oakland, CA 94619
Phone (510) 285-7800

5757 Redwood Rd
Ste 2B
Oakland, CA 94619

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
Michael Esterson Individual 5% Or Greater Direct Ownership InterestOwner Oct 1, 2019 49%
Corporate DirectorVice President/Governing Board D Oct 1, 2019 49%
Zenaida Penetrante Individual 5% Or Greater Direct Ownership InterestOwner Oct 1, 2019 51%
Corporate OfficerDPCS/Administrator/Gov Board Dir Oct 1, 2019 51%
Corporate DirectorDPCS/Administrator/Gov Board Di Oct 1, 2019 51%
W-2 Managing EmployeeDPCS/Administrator/Gov Board Di Oct 1, 2019 51%
Operational/Managerial ControlDPCS/Administrator/Gov Board Di Jan 20, 2016 100%
Jose Felix Huerta Individual Contracted Managing EmployeeMD; Jul 15, 2024
Bernadette Rosales Individual Contracted Managing EmployeeDPCS Designee Jun 28, 2002

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1649638396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 REDWOOD RD STE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946192400",
            "telephone_number": "510-285-7800",
            "fax_number": "510-298-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 REDWOOD RD STE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946192400",
            "telephone_number": "510-285-7800",
            "fax_number": "510-298-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "PENETRANTE",
        "authorized_official_first_name": "ZENAIDA",
        "authorized_official_title_or_position": "CONTACT PERSON",
        "authorized_official_telephone_number": "510-285-7800"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.