Saint Laura Palliative and Hospice Care Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SAINT LAURA PALLIATIVE AND HOSPICE CARE INC.

Practice address

271 E Workman St Ste 200
Covina, CA 91723-3549

Phone

(626) 364-7534

Fax

(626) 364-7561

NPI assigned

Oct 14, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Lilibeth San Gabriel, RN

Title

Administrator

Phone

(909) 684-7410

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B41710

Legal name

SAINT LAURA PALLIATIVE AND HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 30, 2022

Last certification

Aug 30, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

May 10, 2019 in CA

Enrollment address

271 E Workman St
Ste 200
Covina, CA 91723-3549

Listed as

Saint Laura Palliative and Hospice Care, Inc.CCN B41710

Certified

Aug 30, 2022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenelle Charmane Francisco De Juaiting, RN

  • Registered Nurse
  • Pomona, CA
  • NPI 1215583836
  NPD

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Shuja Ayouby, DO

  • Family Medicine Physician
  • Moreno Valley, CA
  • NPI 1134784655

  Hospice

  Care Compare affiliation
• Phillip Tafoya, MD

  • Specialist
  • Temecula, CA
  • NPI 1073509469

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1699317388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 E WORKMAN ST STE 200",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233549",
            "telephone_number": "626-364-7534",
            "fax_number": "626-364-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 E WORKMAN ST STE 200",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233549",
            "telephone_number": "626-364-7534",
            "fax_number": "626-364-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LAURA PALLIATIVE AND HOSPICE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "SAN GABRIEL",
        "authorized_official_first_name": "LILIBETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-684-7410",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Covina",
            "affiliation": "N",
            "endpointDescription": "telephone office informations",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Covina",
            "address_1": "271 E Workman St Ste 200",
            "city": "Covina",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917233549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Syed Mohsin Saghir
• Ann Sago
• Kyan Sahba
• Prem Randall Sahgal Jr., REGISTERED NURSE
• Asma Said
• Saint Paul Enterprises, Inc.
• Halie Marie Salamante
• Cindy Salas
• Maria Salazar Brooks
• Nayeli Salazar Garcia

• Community Based Hospice Care Agency in Covina, CA
• Providers in Covina, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.

Verify at the official NPI Registry.