Organization Active NPI

Affinity Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Hayward, CA
National Provider Identifier
1700405453
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AFFINITY HOSPICE CARE, INC.
Doing business as
Affinity Hospice Care Inc
Practice address
26234 Industrial Blvd
Hayward, CA 94545-2922
Phone
(510) 519-9285
Fax
(510) 892-9285
NPI assigned
Apr 13, 2020
Last updated
May 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Miss Gloria A Escano, BSN
Title
Cfo
Phone
(510) 519-9285

Specialties & licenses 1

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

Addresses

Primary practice location

26234 Industrial Blvd
Hayward, CA 94545-2922

Mailing address

26234 Industrial Blvd
Hayward, CA 94545-2922
Phone (510) 519-9285

Other practice location 1

24301 Southland Dr Ste 221
Hayward, CA 94545-1546
Phone (510) 519-9285

Other names 1

  • Affinity Hospice Care Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200527001422 CA Part A Provider - Hospice 5890116966 Practice locations: Hayward, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700405453. Details of each certification follow.

Hospice certification: CCN A11687

Legal name
AFFINITY HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 3, 2021
Last certification
Mar 3, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 24, 2020 in CA
Enrollment address
26234 Industrial Blvd
Hayward, CA 94545-2922

Care Compare: Hospice

Medicare Care Compare
Listed as
Affinity Hospice Care, IncCCN A11687 · All quality measures
Ownership
For-Profit
Certified
Mar 3, 2021
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
05D2190013Affinity Hospice Care Inc26234 Industrial Blvd, Hayward, CA 94545Certificate of waiverAug 6, 2026

National Provider Directory

National Provider Directory

Locations

24301 Southland Dr
Ste 221
Hayward, CA 94545
Phone (510) 519-9285

26234 Industrial Blvd
Hayward, CA 94545
Phone (510) 519-9285

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Leopoldo L Reyes Individual 5% Or Greater Direct Ownership InterestOwner Mar 2, 2020 30%
Corporate OfficerCfo/Treasurer Mar 2, 2020 100%
Corporate DirectorBoard Member Mar 2, 2020 100%
W-2 Managing EmployeePhysical Therapist Mar 2, 2020 100%
Gloria M Escano Individual 5% Or Greater Direct Ownership InterestOwner Mar 2, 2020 30%
Corporate OfficerCorporate Secretary Mar 2, 2020 100%
Corporate DirectorBoard Member Mar 2, 2020 100%
W-2 Managing EmployeeAdministrator/DPCS Mar 2, 2020 100%
Ulysses G Madlangbayan Individual 5% Or Greater Direct Ownership InterestOwner Mar 2, 2020 40%
Corporate OfficerPresident Mar 2, 2020 100%
Corporate DirectorCeo Mar 2, 2020 100%
W-2 Managing EmployeeAdministrator Designee/DPCS Desi Mar 2, 2020 100%

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 1

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": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1700405453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26234 INDUSTRIAL BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452922",
            "telephone_number": "510-519-9285",
            "fax_number": "510-892-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26234 INDUSTRIAL BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452922",
            "telephone_number": "510-519-9285",
            "fax_number": "510-892-9285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24301 Southland Dr Ste 221",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945451546",
            "country_code": "US",
            "telephone_number": "510-519-9285",
            "fax_number": "510-783-1252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AFFINITY HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "ESCANO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "510-519-9285",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Hospice Care Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Affinity Hospice Care Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.