Active NPI
Pioneer Home Health Care, Inc.
Doing business as Hospice of the Owens Valley
- Community Based Hospice Care Agency
- Bishop, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 550003343
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Valley
- Ownership
- Non-Profit
- Certified
- Jun 1, 2017
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Pioneer Home Health Care Inc
- 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.
-
- Home Health Agency
- Bishop, CA
- NPI 1790782241
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mary Mae Kilpatrick | Corporate Director | Feb 21, 2018 | |
| Lynda Salcido | Corporate Director | May 16, 2018 | |
| Randall W. Vantassell | Corporate Officer | Dec 10, 1998 | |
| Corporate Director | Mar 1, 2022 | ||
| Ruby Allen | Corporate Director | Mar 1, 2020 | |
| Operational/Managerial Control | Mar 1, 2020 | ||
| Marga Foote | Corporate Officer | Mar 27, 2013 | |
| Thomas Joseph Boo | Corporate Director | Apr 27, 2013 | |
| Kelli Davis | Corporate Officer | 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.
-
- Home Health Agency
- Bishop, CA
- NPI 1790782241
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Stanford, CA
- NPI 1063774610
Hospice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.