Active NPI
Vnacare
- Community Based Hospice Care Agency
- Apple Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- VNACARE
- Practice address
- 16147 Kamana Rd
Apple Valley, CA 92307-1377 - Phone
- (760) 946-4730
- Fax
- (760) 242-0566
- NPI assigned
- Dec 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marsha Fox
- Title
- President/Ceo
- Phone
- (909) 624-3574
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | CA | Primary |
Addresses
Primary practice location
16147 Kamana Rd
Apple Valley, CA 92307-1377
Mailing address
2151 E Convention Center Way Ste 100
Ontario, CA 91764-5449
Phone (909) 624-3574
Other names 1
- VNA Hospice and Palliative Care of Southern California
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100623000785 | CA | Part A Provider - Hospice | 0648363978 | Practice locations: Apple Valley, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1740519545. Details of each certification follow.
Hospice certification: CCN 051708
- Legal name
- VNACARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 13, 1997
- Last certification
- Jul 8, 2021
- Ownership / control type
- Non-Profit - Other
- Organization structure
- Corporation
- Incorporated
- Feb 14, 1952 in CA
- Enrollment address
- 16147 Kamana Rd
Apple Valley, CA 92307-1377
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Hospice
Medicare Care Compare- Listed as
- Vnacare
- Ownership
- Non-Profit
- Certified
- May 13, 1997
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0966995 | Vnacare | Certificate of waiver | Oct 28, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Vna Hospice and Palliative Care of Southern California
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Murrieta, CA
- NPI 1306261029
-
- Community Based Hospice Care Agency
- Encino, CA
- NPI 1346116860
Locations
150 W 1st St
Ste 270
Claremont, CA 91711
Phone (909) 624-3574
25220 Hancock Ave
Ste 100
Murrieta, CA 92562
Phone (951) 658-9288
412 E Vanderbilt Way
Ste 100
San Bernardino, CA 92408
Phone (909) 624-3574
Ownership & related parties
All disclosed owners & managing parties 23
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Paula Pachon | Corporate Director | Feb 1, 2018 | 5% |
| Shirley a Turner | Corporate Director | Jan 1, 2023 | 5% |
| Layne a Bartholomew | Corporate Director | Feb 1, 2018 | 5% |
| Karen J Urfer | Corporate Director | Jan 1, 2023 | 5% |
| Charbel E Aoun | Contracted Managing Employee | Mar 20, 2024 | 5% |
| Patricia McBee | W-2 Managing Employee | Mar 8, 2024 | 25% |
| Sebrina L Cole | Corporate Director | Jan 1, 2023 | 5% |
| Charisse R Wilson | Corporate Director | Feb 1, 2018 | 5% |
| Kevin J McArdle | Corporate Director | Jan 1, 2023 | 5% |
| Melinda Walley | W-2 Managing Employee | Mar 20, 2024 | 50% |
| Paula J Natale | Corporate Officer | Oct 1, 2022 | 100% |
| Susan D Verburg | Corporate Director | Jan 1, 2023 | 5% |
| Joyce G Frevert | Corporate Director | May 10, 2010 | |
| Olivia E Sevilla | Corporate Director | Jan 1, 2023 | 5% |
| Suzanne M Graves | Corporate Director | Feb 1, 2018 | 5% |
| Jillann Reis | W-2 Managing Employee | Feb 1, 2023 | 5% |
| Linda a Allera | Corporate Director | Jan 1, 2023 | 5% |
| Susan J Nuss | Corporate Director | Feb 1, 2018 | 5% |
| Barbara J Bateman | Corporate Director | Feb 1, 2018 | 5% |
| Robert E Knudsen | Corporate Director | Feb 1, 2019 | 5% |
| Cindy P Cameron | Corporate Officer | Feb 1, 2018 | 25% |
| Suzanne M Yoakum | Corporate Director | May 10, 2010 | |
| Belinda L Battistelli | Corporate Director | May 10, 2010 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Victorville, CA
- NPI 1023121217
Contracted Managing Employee
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.
-
- Obstetrics & Gynecology Nurse Practitioner
- Apple Valley, CA
- NPI 1326059940
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": "1260230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652227200000",
"number": "1740519545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2151 E CONVENTION CENTER WAY STE 100",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917645449",
"telephone_number": "909-624-3574",
"fax_number": "909-624-1559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16147 KAMANA RD",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923071377",
"telephone_number": "760-946-4730",
"fax_number": "760-242-0566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VNACARE",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-08",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A",
"authorized_official_last_name": "FOX",
"authorized_official_first_name": "MARSHA",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "909-624-3574",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "VNA Hospice and Palliative Care of Southern California",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.