Bear Valley Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BEAR VALLEY HOSPICE LLC

Practice address

909 W Big Bear Blvd
Big Bear City, CA 92314-9661

Phone

(909) 281-2550

Fax

(909) 281-2551

NPI assigned

Dec 6, 2013

Organization subpart

No

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

Authorized official

Name

Spencer Stewart

Title

Co-Owner

Phone

(909) 281-2550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 751713

Legal name

BEAR VALLEY HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 25, 2015

Last certification

Sep 12, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Nov 19, 2013 in CA

Enrollment address

909 W Big Bear Blvd
PO Box 140
Big Bear City, CA 92314-9661

Listed as

Bear Valley Hospice LLCCCN 751713 · All quality measures

Ownership

For-Profit

Certified

Aug 25, 2015

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Cary C Stewart, M.D.

  • Internal Medicine Physician
  • San Clemente, CA
  • NPI 1184690901

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Cary C Stewart, M.D.

  • Internal Medicine Physician
  • San Clemente, CA
  • NPI 1184690901

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1750712410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140",
            "city": "BIG BEAR CITY",
            "state": "CA",
            "postal_code": "923140140",
            "telephone_number": "909-281-2550",
            "fax_number": "909-281-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W BIG BEAR BLVD",
            "city": "BIG BEAR CITY",
            "state": "CA",
            "postal_code": "923149661",
            "telephone_number": "909-281-2550",
            "fax_number": "909-281-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR VALLEY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "909-281-2550"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bear Valley Community Health Care District (Bear Valley Rural Health Clinic)
• Stacie Michele Betancourt, PH.D
• Joel J Bickler, D.D.S
• Big Bear Cab Company, Inc.
• Big Bear City Community Services District
• Bailee Bock

• Community Based Hospice Care Agency in Big Bear City, CA
• Providers in Big Bear City, 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 Jan 30, 2018; 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.