Active NPI
Caring Like Family Hospice
- Community Based Hospice Care Agency
- Marina del Rey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 751794
- Legal business name
- CARING LIKE FAMILY HOSPICE
- Practice address
- 4223 Glencoe Ave
Suite B115
Marina del Rey, CA 90292-5669 - Phone
- (310) 574-5950
- NPI assigned
- Jul 18, 2014
- Last updated
- Jan 9, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Trickett
- Title
- Manager
- Phone
- (310) 395-4788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 751794 | CA | Primary |
Addresses
Primary practice location
4223 Glencoe Ave
Suite B115
Marina del Rey, CA 90292-5669
Mailing address
4223 Glencoe Ave
Suite B115
Marina del Rey, CA 90292-5669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141107001277 | CA | Part A Provider - Hospice | 8921226317 | Practice locations: Marina del Rey, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1659788958. Details of each certification follow.
Hospice certification: CCN 751794
- Legal name
- CARING LIKE FAMILY HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Apr 12, 2016
- Last certification
- Mar 14, 2019
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- May 23, 2014 in CA
- Enrollment address
- 4223 Glencoe Ave
Ste B-109
Marina del Rey, CA 90292-5669
Care Compare: Hospice
Medicare Care Compare- Listed as
- Caring Like Family Hospice
- Ownership
- For-Profit
- Certified
- Apr 12, 2016
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
4223 Glencoe Ave
Ste B109
Marina del Rey, CA 90292
Phone (310) 395-4788
4223 Glencoe Ave
Ste B115
Marina del Rey, CA 90292
Phone (310) 574-5950
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Debora a Gregory | 5% Or Greater Direct Ownership Interest | May 23, 2014 | 100% |
| Corporate Officer | Oct 1, 2015 | 100% | |
| Corporate Director | May 23, 2014 | ||
| W-2 Managing Employee | Aug 1, 2014 | 100% |
Practitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Marina del Rey, CA
- NPI 1558097881
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": "1405641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483920000000",
"number": "1659788958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4223 GLENCOE AVE",
"address_2": "SUITE B115",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4223 GLENCOE AVE",
"address_2": "SUITE B115",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925669",
"telephone_number": "310-574-5950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARING LIKE FAMILY HOSPICE",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-18",
"last_updated": "2017-01-09",
"status": "A",
"authorized_official_last_name": "TRICKETT",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "310-395-4788"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "CA",
"license": "751794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.