Complete Care Hospice,Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMPLETE CARE HOSPICE,INC.

Practice address

9100 Wilshire Blvd Ste 540E
Beverly Hills, CA 90212-3470

Phone

(805) 248-7501

Fax

(805) 248-7322

NPI assigned

Mar 4, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Alla Diment

Title

Ceo

Phone

(805) 248-7501

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A11735

Legal name

COMPLETE CARE HOSPICE,INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 27, 2021

Last certification

Jan 27, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Mar 15, 2018 in CA

Enrollment address

9100 Wilshire Blvd
Ste 540E
Beverly Hills, CA 90212-3470

Listed as

Complete Care Hospice IncCCN A11735

Ownership

For-Profit

Certified

Jan 27, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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.

Owners & managing parties with NPI records 1

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

• Michael Sheinin, D.O.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1023467214

  Corporate Director

  CMS ownership

Practitioners 1

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

• Michael Sheinin, D.O.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1023467214
  NPD (past)

Affiliated clinicians 1

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

• Michael Sheinin, D.O.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1023467214

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1669930160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD STE 540E",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123470",
            "telephone_number": "805-248-7501",
            "fax_number": "805-248-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD STE 540E",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123470",
            "telephone_number": "805-248-7501",
            "fax_number": "805-248-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE HOSPICE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "DIMENT",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-248-7501",
        "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": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.