Active NPI
Faith Kay Hospice LLC
- Community Based Hospice Care Agency
- Riverside, CA
National Provider Identifier
1669012100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- FAITH KAY HOSPICE LLC
- Practice address
- 10586 Magnolia Ave
Riverside, CA 92505-1823 - Phone
- (833) 268-9633
- Fax
- (833) 873-6503
- NPI assigned
- Jan 13, 2020
- Last updated
- Feb 19, 2025
- 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
- Alberto Marciano
- Title
- Ceo
- Phone
- (833) 268-9633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
10586 Magnolia Ave
Riverside, CA 92505-1823
Mailing address
10586 Magnolia Ave
Riverside, CA 92505-1823
Phone (833) 268-9633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200228000876 | CA | Part A Provider - Hospice | 0345677548 | Practice locations: Riverside, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1669012100. Details of each certification follow.
Hospice certification: CCN A11529
- Legal name
- FAITH KAY HOSPICE LLC
- Doing business as
- RIVA HOSPICE OF CALIFORNIA
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Nov 5, 2020
- Last certification
- Nov 5, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Jul 18, 2019 in CA
- Enrollment address
- 10586 Magnolia Ave
Riverside, CA 92505-1823
Care Compare: Hospice
Medicare Care Compare- Listed as
- Riva Hospice of California
- Ownership
- For-Profit
- Certified
- Nov 5, 2020
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
10586 Magnolia Ave
Riverside, CA 92505
Phone (833) 268-9633
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Robley Walter | Corporate Officer | Nov 15, 2021 | |
| W-2 Managing Employee | Nov 15, 2021 | ||
| Janelle Sanchez | W-2 Managing Employee | May 19, 2025 | |
| Alberto Marciano | 5% Or Greater Direct Ownership Interest | Nov 15, 2021 | 100% |
| Corporate Officer | Nov 15, 2021 | 100% | |
| Corporate Director | Nov 15, 2021 | 100% | |
| Betty Stepien | Contracted Managing Employee | May 16, 2022 |
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, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1144251067
Affiliated clinicians 16
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": "1578873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739923200000",
"number": "1669012100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10586 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925051823",
"telephone_number": "833-268-9633",
"fax_number": "833-873-6503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10586 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925051823",
"telephone_number": "833-268-9633",
"fax_number": "833-873-6503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAITH KAY HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-13",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A",
"authorized_official_last_name": "MARCIANO",
"authorized_official_first_name": "ALBERTO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "833-268-9633"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.