Mount Sinai Hospice and Palliative Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MOUNT SINAI HOSPICE AND PALLIATIVE CARE INC

Practice address

1426 University Ave Ste a
Riverside, CA 92507-4401

Phone

(951) 300-8824

Fax

(951) 900-6169

NPI assigned

Jul 20, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Hamza Sajjad

Title

Ceo

Phone

(951) 300-8824

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B21793

Legal name

MOUNT SINAI HOSPICE AND PALLIATIVE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 13, 2021

Last certification

Oct 13, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

May 6, 2020 in CA

Enrollment address

1426 University Ave
Ste a
Riverside, CA 92507-4401

Listed as

Mount Sinai Hospice and Palliative Care IncCCN B21793

Ownership

For-Profit

Certified

Oct 13, 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 3

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Guillermo Castillo, M.D.

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1366558322

  W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mir Mohammad Tokir Mujtaba, MD

  • Cardiovascular Disease Physician
  • Lebanon, NH
  • NPI 1578727178
  NPD (past)

Affiliated clinicians 2

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

• Guillermo Castillo, M.D.

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1366558322

  Hospice

  Care Compare affiliation
• Mir Mohammad Tokir Mujtaba, MD

  • Cardiovascular Disease Physician
  • Lebanon, NH
  • NPI 1578727178

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1669080222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 UNIVERSITY AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074401",
            "telephone_number": "951-300-8824",
            "fax_number": "951-900-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 UNIVERSITY AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074401",
            "telephone_number": "951-300-8824",
            "fax_number": "951-900-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SINAI HOSPICE AND PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2023-11-16",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "SAJJAD",
        "authorized_official_first_name": "HAMZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-300-8824",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Angel Mota, MD
• Ryan Mote
• Sefideh Motearefi
• Shalana Debra-Janet Moten
• John Labeeb Moubarek, MD
• Mount Vernon Rcfe LLC
• Dawn Mount
• Mountain Shadows Support Group, Inc
• Mountain Shadows Support Group, Inc
• Mountain Shadows Support Group, Inc

• Community Based Hospice Care Agency in Riverside, CA
• Providers in Riverside, 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 Nov 16, 2023; 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.