Active NPI
Maxcare Hospice
- Community Based Hospice Care Agency
- Westminster, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- MAXCARE HOSPICE
- Practice address
- 13800 Arizona St
Ste 201
Westminster, CA 92683-3951 - Phone
- (714) 844-7777
- NPI assigned
- Feb 3, 2011
- 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
- Cuong Nguyen
- Title
- President
- Phone
- (714) 844-7777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
13800 Arizona St
Ste 201
Westminster, CA 92683-3951
Mailing address
13800 Arizona St
Ste 201
Westminster, CA 92683-3951
Phone (714) 844-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110602000115 | CA | Part A Provider - Hospice | 9436336369 | Practice locations: Westminster, CA |
Hospice certification: CCN 551689
- Legal name
- MAXCARE HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 24, 2012
- Last certification
- Oct 4, 2018
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 1, 2010 in CA
- Enrollment address
- 13800 Arizona St
Ste 201
Westminster, CA 92683-3951
Care Compare: Hospice
Medicare Care Compare- Listed as
- Maxcare Hospice
- Ownership
- For-Profit
- Certified
- Dec 24, 2012
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2027572 | Maxcare Hospice | Certificate of waiver | Jul 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
9039 Bolsa Ave
Ste 210
Westminster, CA 92683
Phone (714) 622-5334
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Thuy Nguyen | Contracted Managing Employee | Apr 14, 2020 | |
| Cuong Nguyen | 5% Or Greater Direct Ownership Interest | Apr 1, 2011 | 100% |
| Corporate Director | Apr 1, 2011 | ||
| W-2 Managing Employee | Apr 1, 2011 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1891015871
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 4
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": "1296691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640649600000",
"number": "1679879993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13800 ARIZONA ST",
"address_2": "STE 201",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926833951",
"telephone_number": "714-844-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13800 ARIZONA ST",
"address_2": "STE 201",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926833951",
"telephone_number": "714-844-7777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXCARE HOSPICE",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-03",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "CUONG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-844-7777"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.