Organization Active NPI

Vnacare

  • Community Based Hospice Care Agency
  • Apple Valley, CA
National Provider Identifier
1740519545
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on May 11, 2022

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)CodeLicenseStatePrimary
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 Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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
VnacareCCN 051708 · All quality measures
Ownership
Non-Profit
Certified
May 13, 1997
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
05D0966995Vnacare16147 Kamana Rd, Apple Valley, CA 92307Certificate of waiverOct 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Vna Hospice and Palliative Care of Southern California3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Paula Pachon Individual Corporate Director Feb 1, 2018 5%
Shirley a Turner Individual Corporate DirectorBoard Member Jan 1, 2023 5%
Layne a Bartholomew Individual Corporate Director Feb 1, 2018 5%
Karen J Urfer Individual Corporate DirectorBoard Member Jan 1, 2023 5%
Charbel E Aoun Individual Contracted Managing EmployeeMedical Director Mar 20, 2024 5%
Patricia McBee Individual W-2 Managing EmployeeRegional Director of Operatio Mar 8, 2024 25%
Sebrina L Cole Individual Corporate DirectorBoard Member Jan 1, 2023 5%
Charisse R Wilson Individual Corporate Director Feb 1, 2018 5%
Kevin J McArdle Individual Corporate DirectorBoard Member Jan 1, 2023 5%
Melinda Walley Individual W-2 Managing EmployeeAdministrtor/Hospice Director Mar 20, 2024 50%
Paula J Natale Individual Corporate OfficerChief Executive Officer Oct 1, 2022 100%
Susan D Verburg Individual Corporate DirectorBoard Member Jan 1, 2023 5%
Joyce G Frevert Individual Corporate Director May 10, 2010
Olivia E Sevilla Individual Corporate DirectorBoard Member Jan 1, 2023 5%
Suzanne M Graves Individual Corporate Director Feb 1, 2018 5%
Jillann Reis Individual W-2 Managing EmployeeDirector of Qapi/Compliance Feb 1, 2023 5%
Linda a Allera Individual Corporate DirectorBoard Member Jan 1, 2023 5%
Susan J Nuss Individual Corporate Director Feb 1, 2018 5%
Barbara J Bateman Individual Corporate Director Feb 1, 2018 5%
Robert E Knudsen Individual Corporate Director Feb 1, 2019 5%
Cindy P Cameron Individual Corporate OfficerChief Financial Officer Feb 1, 2018 25%
Suzanne M Yoakum Individual Corporate Director May 10, 2010
Belinda L Battistelli Individual 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.

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 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

Verify at the official NPI Registry.