Organization Active NPI

Pioneer Home Health Care, Inc.

Doing business as Hospice of the Owens Valley

  • Community Based Hospice Care Agency
  • Bishop, CA
National Provider Identifier
1679905996
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
550003343 Issued in CA
Legal business name
PIONEER HOME HEALTH CARE, INC.
Doing business as
Hospice of the Owens Valley
Practice address
363 Academy St
Bishop, CA 93514-2603
Phone
(760) 872-4663
Fax
(760) 872-4665
NPI assigned
Aug 9, 2013
Organization subpart
Yes
Parent organization
PIONEER HOME HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Patricia D. West, PHN
Title
Administrator
Phone
(760) 872-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 550003343 CA Primary

Addresses

Primary practice location

363 Academy St
Bishop, CA 93514-2603

Mailing address

363 Academy St
Bishop, CA 93514-2603
Phone (760) 872-4663

Other names 1

  • Hospice of the Owens Valley Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130924000806 CA Part A Provider - Hospice 6103958327 Practice locations: Bishop, CA

Hospice certification: CCN 921591

Legal name
PIONEER HOME HEALTH CARE, INC.
Doing business as
HOSPICE OF THE OWENS VALLEY
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 1, 2017
Last certification
Nov 22, 2019
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1999 in CA
Enrollment address
363 Academy St
Bishop, CA 93514-2603

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of the Owens ValleyCCN 921591 · All quality measures
Ownership
Non-Profit
Certified
Jun 1, 2017
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Home Health Care Inc2 organizations share this tax ID, including this one
Part of
Pioneer Home Health Care Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

363 Academy St
Bishop, CA 93514
Phone (760) 872-4663

162 E Line St
Ste C
Bishop, CA 93514
Phone (760) 872-4663

162 E Line St
Bishop, CA 93514
Phone (760) 872-4663

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Mary Mae Kilpatrick Individual Corporate DirectorMember of Corporate Board Feb 21, 2018
Lynda Salcido Individual Corporate DirectorMember of Corporate Board May 16, 2018
Randall W. Vantassell Individual Corporate OfficerPresident of Corporate Board Dec 10, 1998
Corporate DirectorPresident of Corp Board Mar 1, 2022
Ruby Allen Individual Corporate DirectorAdministrator Mar 1, 2020
Operational/Managerial ControlAdministrator Mar 1, 2020
Marga Foote Individual Corporate OfficerSecretary of Corporate Board Mar 27, 2013
Thomas Joseph Boo Individual Corporate DirectorMember of Corporate Board Apr 27, 2013
Kelli Davis Individual Corporate OfficerCorporate Board Member Sep 18, 2020

Owners & managing parties with NPI records 1

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679905996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 ACADEMY ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142603",
            "telephone_number": "760-872-4663",
            "fax_number": "760-872-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 ACADEMY ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142603",
            "telephone_number": "760-872-4663",
            "fax_number": "760-872-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HOME HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIONEER HOME HEALTH CARE, INC.",
        "enumeration_date": "2013-08-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-872-4663",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550003343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of the Owens Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bishop, CA

Sources for this page

Verify at the official NPI Registry.