Sequoia Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SEQUOIA HOSPICE, INC

Practice address

55 Shaw Ave Ste 112
Clovis, CA 93612-3819

Phone

(559) 765-1782

NPI assigned

Sep 10, 2019

Organization subpart

No

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

Authorized official

Name

Kristin Amorino, RN

Title

Owner/Administrator

Phone

(559) 765-1782

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B21782

Legal name

SEQUOIA HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 20, 2021

Last certification

Aug 20, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 3, 2019 in CA

Enrollment address

55 Shaw Ave
Ste 112
Clovis, CA 93612-3819

Listed as

Sequoia Hospice IncCCN B21782

Ownership

For-Profit

Certified

Aug 20, 2021

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.

Affiliated clinicians 1

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

• Amitabh U Goswami, D.O., M.P.H.

  • Interventional Pain Medicine Physician
  • Fresno, CA
  • NPI 1447451539

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1669021747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5874 E DWIGHT WAY",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937276213",
            "telephone_number": "559-765-1782",
            "fax_number": "559-765-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SHAW AVE STE 112",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123819",
            "telephone_number": "559-765-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "AMORINO",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "559-765-1782",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lundi C Seng, M.D.
• Mariamajane Sengsiri, LVN
• Susan Senzaki, CPNP, RN, DNP
• Sequoia Companion Care, LLC
• Sequoia Home Health Inc
• Sergio Ilic, M.D., Professional Corporation
• Komola Azimova Shaban, MD
• Frances Angelica Abella Shafer
• Natasha Shah, MSPAS
• Mohammad F Shaikh, MD

• Community Based Hospice Care Agency in Clovis, CA
• Providers in Clovis, 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 Sep 10, 2019; 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.