Organization Active NPI

Ahpc Palm Desert, Inc.

Doing business as Allied Hospice & Palliative Care

  • Community Based Hospice Care Agency
  • Palm Desert, CA
National Provider Identifier
1689274565
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AHPC PALM DESERT, INC.
Doing business as
Allied Hospice & Palliative Care
Practice address
36947 Cook Street , Suite 104
Palm Desert, CA 92211-6078
Phone
(760) 537-4647
Fax
(760) 537-4411
NPI assigned
Oct 29, 2020
Last updated
Feb 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Ms. Sunshine Euraoba Lubrico
Title
Ceo
Phone
(760) 537-4647

Specialties & licenses 1

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

Addresses

Primary practice location

36947 Cook Street , Suite 104
Palm Desert, CA 92211-6078

Mailing address

36947 Cook Street , Suite 104
Palm Desert, CA 92211-6078
Phone (760) 537-4647

Other names 1

  • Allied Hospice & Palliative Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210104001729 CA Part A Provider - Hospice 8325451750 Practice locations: Palm Desert, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689274565. Details of each certification follow.

Hospice certification: CCN B51707

Legal name
AHPC PALM DESERT INC
Doing business as
ALLIED HOSPICE & PALLIATIVE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 12, 2022
Last certification
Aug 12, 2022
Organization structure
CorporationProprietary
Incorporated
Sep 28, 2020 in CA
Enrollment address
36947 Cook St
Ste 104
Palm Desert, CA 92211-6078

Care Compare: Hospice

Medicare Care Compare
Listed as
Allied Hospice & Palliative CareCCN B51707 · All quality measures
Certified
Aug 12, 2022
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
05D2307737Ahpc Palm Desert Inc36947 Cook Street Suite 104, Palm Desert, CA 92211Certificate of waiverJul 14, 2028

National Provider Directory

National Provider Directory

Locations

36947 Cook St
Ste 104
Palm Desert, CA 92211
Phone (760) 354-8285

777 E Tahquitz Canyon Way
Ste 20099
Palm Springs, CA 92262

777 E Tahquitz Canyon Way
Ste 200099
Palm Springs, CA 92262
Phone (760) 537-4647

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
Ousama Ismael Individual Contracted Managing EmployeeMD; Dec 1, 2023
Sunshine E Lubrico Individual 5% Or Greater Direct Ownership Interest Aug 9, 2023 60%
Corporate OfficerCeo, Secretary, Board Member, Ow Aug 9, 2023 60%
Corporate DirectorCeo, Secretary, Director Aug 9, 2023 60%
W-2 Managing EmployeeAd;DPCS Aug 9, 2023 60%
Harvey Lua Individual W-2 Managing EmployeeDPCS Designee Jan 3, 2024 50%
Abdallah Abusamrah Salaimeh Individual Contracted Managing EmployeeMD;Associate Medical Director May 7, 2025
Jean Gubia Individual W-2 Managing EmployeeAdministrator Designee Mar 1, 2024 40%
Reham S Shaath Individual 5% Or Greater Direct Ownership Interest Aug 9, 2023 40%
Corporate OfficerCfo, Board Member, Owner Aug 9, 2023 40%
Corporate DirectorCfo, Board Member, Owne Aug 9, 2023 40%
W-2 Managing EmployeeCfo, Board Member, Owne Aug 9, 2023 40%
Elizabeth Gatmaitan Reyes Individual W-2 Managing EmployeeDirector of Operations Mar 27, 2024 50%

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1689274565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36947 COOK STREET , SUITE 104",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116078",
            "telephone_number": "760-537-4647",
            "fax_number": "760-537-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36947 COOK STREET , SUITE 104",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116078",
            "telephone_number": "760-537-4647",
            "fax_number": "760-537-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHPC PALM DESERT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2025-02-21",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "LUBRICO",
        "authorized_official_first_name": "SUNSHINE",
        "authorized_official_middle_name": "EURAOBA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-537-4647",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allied Hospice & Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.