Carewise Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CAREWISE HOSPICE, INC.

Practice address

5924 E Los Angeles Ave
Suite R
Simi Valley, CA 93063-5526

Phone

(805) 823-4144

Fax

(805) 823-4145

NPI assigned

Oct 10, 2014

Last updated

Oct 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aleksandra Dubina

Title

President

Phone

(805) 823-4144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649674250. Details of each certification follow.

• CCN 751704 Hospice · Active · Details

Hospice certification: CCN 751704

Legal name

CAREWISE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 2, 2015

Last certification

Nov 8, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 15, 2014 in CA

Enrollment address

913 W 7TH St
Oxnard, CA 93030-6755

Listed as

Carewise Hospice, IncCCN 751704 · All quality measures

Ownership

For-Profit

Certified

Oct 2, 2015

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 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catherine Lingan Ronda

  • Family Nurse Practitioner
  • Oxnard, CA
  • NPI 1588542153
  NPD (past)

Affiliated clinicians 1

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

• Eugene Soroka, MD

  • Family Medicine Physician
  • Port Hueneme, CA
  • NPI 1437109683

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1649674250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 E LOS ANGELES AVE",
            "address_2": "SUITE R",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635526",
            "telephone_number": "805-823-4144",
            "fax_number": "805-823-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 E LOS ANGELES AVE",
            "address_2": "SUITE R",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635526",
            "telephone_number": "805-823-4144",
            "fax_number": "805-823-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREWISE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "DUBINA",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-823-4144"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Simi Valley, CA
• Providers in Simi Valley, 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 Oct 10, 2014; 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.