Organization Active NPI

Unitedcare Hospice, Inc.

  • Community Based Hospice Care Agency
  • Cerritos, CA
National Provider Identifier
1700281102
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
UNITEDCARE HOSPICE, INC.
Practice address
11080 Artesia Blvd Ste D
Cerritos, CA 90703-2544
Phone
(562) 584-4072
Fax
(562) 584-4073
NPI assigned
Oct 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Hee Jeen Choi, RN
Title
Ceo/ Administration
Phone
(562) 584-4072

Specialties & licenses 1

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

Addresses

Primary practice location

11080 Artesia Blvd Ste D
Cerritos, CA 90703-2544

Mailing address

11080 Artesia Blvd Ste D
Cerritos, CA 90703-2544
Phone (562) 584-4072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150410001907 CA Part A Provider - Hospice 4880912492 Practice locations: Cerritos, CA

Hospice certification: CCN A01645

Legal name
UNITEDCARE HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 12, 2019
Last certification
Jul 12, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 2, 2014 in CA
Enrollment address
11080 Artesia Blvd
Ste D
Cerritos, CA 90703-2544

Care Compare: Hospice

Medicare Care Compare
Listed as
Unitedcare Hospice, IncCCN A01645
Ownership
For-Profit
Certified
Jul 12, 2019
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
05D2106893Unitedcare Hospice Inc11080 Artesia Blvd Ste D, Cerritos, CA 90703Certificate of waiverDec 29, 2027

National Provider Directory

National Provider Directory

Locations

11080 Artesia Blvd
Ste D
Cerritos, CA 90703
Phone (562) 584-4072

Ownership & related parties

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.

NameRoleSinceShare
Hee J Choi Individual 5% Or Greater Direct Ownership Interest Nov 4, 2014 100%
Corporate OfficerCeo, Board Member Nov 4, 2014 100%
Corporate DirectorCeo, Board Member Nov 4, 2014 100%
W-2 Managing EmployeeAdministrator Nov 4, 2014 100%
Operational/Managerial ControlCeo, Board Member Nov 4, 2014 100%
Paul S Chang Individual W-2 Managing EmployeeMD; Nov 1, 2017

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1700281102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11080 ARTESIA BLVD STE D",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032544",
            "telephone_number": "562-584-4072",
            "fax_number": "562-584-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11080 ARTESIA BLVD STE D",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032544",
            "telephone_number": "562-584-4072",
            "fax_number": "562-584-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITEDCARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "HEE",
        "authorized_official_middle_name": "JEEN",
        "authorized_official_title_or_position": "CEO/ ADMINISTRATION",
        "authorized_official_telephone_number": "562-584-4072",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.