Organization Active NPI

Caring Like Family Hospice

  • Community Based Hospice Care Agency
  • Marina del Rey, CA
National Provider Identifier
1659788958
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
751794 Issued in CA
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 HospiceCCN 751794 · All quality measures
Ownership
For-Profit
Certified
Apr 12, 2016
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Debora a Gregory Individual 5% Or Greater Direct Ownership InterestDirector May 23, 2014 100%
Corporate OfficerPresident/Director of Nursing Oct 1, 2015 100%
Corporate Director May 23, 2014
W-2 Managing EmployeePresident 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.

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

Verify at the official NPI Registry.