Organization Active NPI

Alpha Healthcare Management, Inc.

  • Community Based Hospice Care Agency
  • Torrance, CA
National Provider Identifier
1720147689
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ALPHA HEALTHCARE MANAGEMENT, INC.
Practice address
373 Van Ness Avenue
Suite 260
Torrance, CA 90501-6244
Phone
(310) 771-0838
Fax
(310) 771-0836
NPI assigned
Dec 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Ms. Josie Austria Jones, RN, BSN, MS
Title
Ceo/President
Phone
(562) 254-6111

Specialties & licenses 1

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

Addresses

Primary practice location

373 Van Ness Avenue
Suite 260
Torrance, CA 90501-6244

Mailing address

373 Van Ness Avenue
Suite 260
Torrance, CA 90501-6244
Phone (310) 771-0838

Other names 1

  • Alpha Hospice Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040409000666 CA Part A Provider - Hospice 5799779088 Practice locations: Torrance, CA

Hospice certification: CCN 551576

Legal name
ALPHA HEALTHCARE MANAGEMENT INC
Doing business as
ALPHA HOSPICE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 1, 2009
Last certification
Jul 26, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jun 18, 2003 in CA
Enrollment address
373 Van Ness Ave
Ste 260
Torrance, CA 90501-6240

Care Compare: Hospice

Medicare Care Compare
Listed as
Alpha Hospice CareCCN 551576
Ownership
For-Profit
Certified
Oct 1, 2009
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
05D1066324Alpha Healthcare Management Inc373 Van Ness Ave Ste 260, Torrance, CA 90501Certificate of waiverMar 20, 2027

National Provider Directory

National Provider Directory

Locations

373 Van Ness Ave
Ste 260
Torrance, CA 90501
Phone (310) 771-0838

373 Van Ness Ave
Ste 160
Torrance, CA 90501
Phone (310) 320-6765

19401 S Vermont Ave
Ste B102A
Torrance, CA 90502
Phone (310) 771-0838

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Jose Alejandro Caceres Individual 5% Or Greater Direct Ownership Interest Nov 29, 2022 40%
Corporate Officer Nov 29, 2022
Joy Imperial Individual 5% Or Greater Direct Ownership Interest Nov 29, 2022 10%
Corporate Officer Nov 29, 2022
Shaun Garcia Individual 5% Or Greater Direct Ownership Interest Nov 29, 2022 10%
Corporate Officer Nov 29, 2022
Audrey Caceres Individual 5% Or Greater Direct Ownership Interest Nov 29, 2022 40%
Corporate Officer Nov 29, 2022
Corporate Director Nov 29, 2022
W-2 Managing EmployeeAd; Nov 29, 2022 40%
Alexander a Mendez Individual Contracted Managing EmployeeMedical Director Feb 1, 2019 100%

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1720147689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 VAN NESS AVENUE",
            "address_2": "SUITE 260",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905016244",
            "telephone_number": "310-771-0838",
            "fax_number": "310-771-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 VAN NESS AVENUE",
            "address_2": "SUITE 260",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905016244",
            "telephone_number": "310-771-0838",
            "fax_number": "310-771-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA HEALTHCARE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JOSIE",
        "authorized_official_middle_name": "AUSTRIA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "562-254-6111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN, MS"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.