NPIMap

Organization Active NPI

Peaceful Heart Healthcare LLC

Doing business as Bella Terra Hospice

  • Community Based Hospice Care Agency
  • Moreno Valley, CA
National Provider Identifier
1679187835
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PEACEFUL HEART HEALTHCARE LLC
Doing business as
Bella Terra Hospice
Practice address
13800 Heacock St Ste C240
Moreno Valley, CA 92553-6268
Phone
(951) 397-4755
NPI assigned
Sep 4, 2020
Last updated
Jun 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Amber Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

13800 Heacock St Ste C240
Moreno Valley, CA 92553-6268

Mailing address

13800 Heacock St Ste C240
Moreno Valley, CA 92553-6268
Phone (951) 397-4755

Other names 1

  • Bella Terra Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201013001665 CA Part A Provider - Hospice 4981024981 Practice locations: Moreno Valley, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679187835. Details of each certification follow.

Hospice certification: CCN 551620

Legal name
PEACEFUL HEART HEALTHCARE LLC
Doing business as
BELLA TERRA HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 20, 2011
Last certification
Dec 6, 2017
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
13800 Heacock St
Ste C240
Moreno Valley, CA 92553-6268

Care Compare: Hospice

Medicare Care Compare
Listed as
Bella Terra HospiceCCN 551620 · All quality measures
Ownership
For-Profit
Certified
Sep 20, 2011
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2003153Peaceful Heart Healthcare LLC13800 Heacock Street, Suite C240, Moreno Valley, CA 92553Certificate of waiverFeb 2, 2028

National Provider Directory

National Provider Directory

Locations

391 N Main St
Ste 303
Corona, CA 92878
Phone (951) 397-4755

13800 Heacock St
Ste C240
Moreno Valley, CA 92553
Phone (951) 397-4755

41870 Kalmia St
Ste 165
Murrieta, CA 92562
Phone (951) 397-4755

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Robert D Weger Individual W-2 Managing EmployeeExecutive Director Feb 23, 2026
Timothy Johnson Individual W-2 Managing EmployeeAdministrator Designee Apr 7, 2025
Jesse Christian Madera Individual W-2 Managing EmployeeAd; Mar 1, 2025
David M Mitzner Individual W-2 Managing EmployeeMD; Dec 29, 2025
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2020 100%
Brent Mills Individual Corporate OfficerTreasurer Mar 26, 2026
Brent Guerisoli Individual Corporate DirectorDirector and Sole Board Member Aug 1, 2022
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
Elizabeth Rios Individual W-2 Managing EmployeeDirector of Patient Care Services Oct 13, 2025
Tamisha Frontera Individual W-2 Managing EmployeeDPCS Designee Feb 23, 2026
John J Gochnour Individual Corporate OfficerPresident / LLC Manager Jul 23, 2024
Amber Tueller Individual Corporate OfficerSecretary Apr 10, 2024
Elliot McMillan Individual Corporate OfficerVice President Apr 10, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 141

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 141

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2020 Change of OwnershipThis provider was the buyer Buena Vista Valley HospiceCCN 551620, CA, NPI 1497090013

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

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": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1679187835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 HEACOCK ST STE C240",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925536268",
            "telephone_number": "951-397-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 HEACOCK ST STE C240",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925536268",
            "telephone_number": "951-397-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HEART HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Terra Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.