Organization Active NPI

Maxcare Hospice

  • Community Based Hospice Care Agency
  • Westminster, CA
National Provider Identifier
1679879993
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Dec 28, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 HospiceCCN 551689 · All quality measures
Ownership
For-Profit
Certified
Dec 24, 2012
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
05D2027572Maxcare Hospice13800 Arizona Street, Suite 201, Westminster, CA 92683Certificate of waiverJul 26, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Thuy Nguyen Individual Contracted Managing EmployeeMD; Apr 14, 2020
Cuong Nguyen Individual 5% Or Greater Direct Ownership InterestOwner Apr 1, 2011 100%
Corporate DirectorAdministrator Apr 1, 2011
W-2 Managing EmployeeAdministrator 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.

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

Verify at the official NPI Registry.