Perpetual Care Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PERPETUAL CARE HOSPICE, INC.

Practice address

1985 Yosemite Ave Ste 250
Simi Valley, CA 93063-5200

Phone

(805) 583-1070

Fax

(805) 583-1071

NPI assigned

Jun 22, 2014

Organization subpart

No

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

Authorized official

Name

Arlene Buela

Title

Administrator

Phone

(805) 583-1070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A01507

Legal name

PERPETUAL CARE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 24, 2018

Last certification

Oct 1, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 18, 2013 in CA

Enrollment address

1985 Yosemite Ave
Ste 250
Simi Valley, CA 93063-5200

Listed as

Perpetual Care Hospice, IncCCN A01507 · All quality measures

Ownership

For-Profit

Certified

Nov 24, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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.

• Jessica Marie Adkins, M.D.

  • Internal Medicine Physician
  • Ventura, CA
  • NPI 1194968362

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Jessica Marie Adkins, M.D.

  • Internal Medicine Physician
  • Ventura, CA
  • NPI 1194968362

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1403395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1710392402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 YOSEMITE AVE STE 250",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635200",
            "telephone_number": "058-583-1070",
            "fax_number": "805-583-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 YOSEMITE AVE STE 250",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635200",
            "telephone_number": "805-583-1070",
            "fax_number": "805-583-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERPETUAL CARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-22",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "BUELA",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-583-1070"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Perez Salgado
• Jose Salvador Perez-Oliman
• Emelia Perez, M.D.
• Maria Angeles Perez
• Katelynn Perlstein
• Keith Asukai Persico
• Peter Kim MD Inc
• Petrosyan Enterprises, Inc.
• Anthony Thong Phan, M.D.
• Pharmtox

• Community Based Hospice Care Agency in Simi Valley, CA
• Providers in Simi Valley, 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 Aug 24, 2020; 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.