Achieva Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ACHIEVA HOSPICE INC

Doing business as

Mission Hospice of the Inland Empire

Practice address

818 N Mountain Ave
Suite 104
Upland, CA 91786-4167

Phone

(213) 389-6900

NPI assigned

Oct 9, 2014

Last updated

Dec 22, 2014By 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

Mr. David Friedman

Title

President

Phone

(213) 389-6900

Specialties & licenses 1

Addresses

Other names 1

• Mission Hospice of the Inland Empire 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 1700280328. Details of each certification follow.

• CCN A01502 Hospice · Active · Details

Hospice certification: CCN A01502

Legal name

ACHIEVA HOSPICE INC

Doing business as

MISSION HOSPICE OF THE INLAND EMPIRE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 11, 2018

Last certification

Jan 6, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Feb 3, 2003 in CA

Enrollment address

818 N Mountain Ave
Ste 104
Upland, CA 91786-4164

Listed as

Achieva Hospice, IncCCN A01502 · All quality measures

Ownership

For-Profit

Certified

Jun 11, 2018

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 9

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

Owners & managing parties with NPI records 1

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

• Jeffrey Robert Unger, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Rancho Cucamonga, CA
  • NPI 1003856188

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 24

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Ability Homecare, Inc

  dba Sherman Oaks Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Sherman Oaks, CA
  • NPI 1316018310

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Alden Enterprises LLC

  dba Alden Terrace Convalescent Hospital

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1568544781

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Artesia Healthcare, Inc

  dba Alameda Care Center

  • Skilled Nursing Facility
  • Burbank, CA
  • NPI 1316019482

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Beaumont Manor LLC

  dba Highland Springs Care Center

  • Skilled Nursing Facility
  • Beaumont, CA
  • NPI 1376963785

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Burbank Healthcare LLC

  dba Burbank Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Burbank, CA
  • NPI 1518036060

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Canoga Healthcare LLC

  dba West Hills Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Canoga Park, CA
  • NPI 1487734935

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Cerritos Vista Healthcare Center LLC

  dba Cerritos Vista Healthcare Center

  • Skilled Nursing Facility
  • Bellflower, CA
  • NPI 1407373350

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Chino Valley Rehabilitation Center LLC

  dba Chino Valley Healthcare Center

  • Skilled Nursing Facility
  • Pomona, CA
  • NPI 1558441022

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Coldwater Care Center LLC

  dba Sherman Village Healthcare Center

  • Skilled Nursing Facility
  • N Hollywood, CA
  • NPI 1790854180

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Colonial Care Center Inc.

  dba Colonial Care Center

  • Skilled Nursing Facility
  • Long Beach, CA
  • NPI 1639257165

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Covina Care Center, Inc.

  dba Covina Rehabilitation Center

  • Skilled Nursing Facility
  • Covina, CA
  • NPI 1992885958

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership
• Eastland Subacute and Rehab LLC

  dba Eastland Subacute and Rehabilitation Center

  • Skilled Nursing Facility
  • El Monte, CA
  • NPI 1265804397

  Friedman Family Trust, Ira D Friedman 1991 Trust, Lehmann Family 1991 Trust, The Klavan Family Trust, The Tzippy Friedman Notis 1990 Trust

  CMS ownership

Affiliated clinicians 1

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

• Jeffrey Robert Unger, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Rancho Cucamonga, CA
  • NPI 1003856188

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1700280328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 WILSHIRE BLVD FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103425",
            "telephone_number": "213-389-6900",
            "fax_number": "213-368-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N MOUNTAIN AVE",
            "address_2": "SUITE 104",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864167",
            "telephone_number": "213-389-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVA HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-389-6900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Hospice of the Inland Empire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Upland, CA
• Providers in Upland, 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 Dec 22, 2014; 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.