Hygieia Health Systems, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HYGIEIA HEALTH SYSTEMS, INC

Doing business as

Hygieia Hospice Care

Practice address

11401 Carson St Ste M
Lakewood, CA 90715-2546

Phone

(562) 865-4900

Fax

(562) 865-4945

NPI assigned

Mar 16, 2021

Last updated

Mar 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Marciano Zalopany

Title

Ceo

Phone

(562) 760-4527

Specialties & licenses 1

Addresses

Other names 1

• Hygieia Hospice Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699350256. Details of each certification follow.

• CCN B51542 Hospice · Active · Details

Hospice certification: CCN B51542

Legal name

HYGIEIA HEALTH SYSTEMS, INC

Doing business as

HYGIEIA HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 21, 2022

Last certification

Sep 15, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 11, 2019 in CA

Enrollment address

11401 Carson St
Ste M
Lakewood, CA 90715-2546

Listed as

Hygieia Hospice CareCCN B51542 · All quality measures

Certified

Sep 21, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 3

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

• Kristoffer Tolentino Chin, DO

  • Family Medicine Physician
  • Paramount, CA
  • NPI 1790342764

  Hospice

  Care Compare affiliation
• Tyler De Jong, M.D.

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1033537493

  Hospice

  Care Compare affiliation
• Peter Ferrera, M.D.

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1366481384

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1699350256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 CARSON ST STE M",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907152546",
            "telephone_number": "562-865-4900",
            "fax_number": "562-865-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 CARSON ST STE M",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907152546",
            "telephone_number": "562-865-4900",
            "fax_number": "562-865-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYGIEIA HEALTH SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "ZALOPANY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARCIANO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-760-4527"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hygieia Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hygieia Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan Bao Huynh, D.C.
• Kenneth Huynh, RD
• Linh Gia Huynh
• Jisung Hwang, PHARMD
• Hygieia Behavioral Health Foundation Inc.
• Hygieia Health Systems, Inc
• Hygieia Home Health Inc
• I Care Eye Ware, Inc. (Sterling Optical)
• Amya Michelle Iannone
• Karla Ibanez Wood

• Community Based Hospice Care Agency in Lakewood, CA
• Providers in Lakewood, 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 Mar 23, 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.

Verify at the official NPI Registry.