Lady of Joy Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LADY OF JOY HOSPICE INC

Practice address

4259 Palo Verde Street
Suite 103a-6
Montclair, CA 91763-2302

Phone

(909) 222-6960

Fax

(909) 236-5613

NPI assigned

May 8, 2020

Organization subpart

No

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

Authorized official

Name

Verna E Mon

Title

Ceo/President

Phone

(909) 222-6960

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B21630

Legal name

LADY OF JOY HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 26, 2021

Last certification

Jul 26, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Mar 27, 2020 in CA

Enrollment address

4959 Palo Verde St
Ste 103a-6
Montclair, CA 91763-2330

Listed as

Lady of Joy Hospice, IncCCN B21630

Ownership

For-Profit

Certified

Jul 26, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 2

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

• Peter N. Mattar, MD

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1417005422

  Hospice

  Care Compare affiliation
• Hemant Dahyabhai Patel, M.D.

  • Family Medicine Physician
  • Pomona, CA
  • NPI 1194746842

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1760004147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4259 PALO VERDE STREET",
            "address_2": "SUITE 103A-6",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632302",
            "telephone_number": "909-222-6960",
            "fax_number": "909-236-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4259 PALO VERDE STREET",
            "address_2": "SUITE 103A-6",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632302",
            "telephone_number": "909-222-6960",
            "fax_number": "909-236-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADY OF JOY HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "MON",
        "authorized_official_first_name": "VERNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "909-222-6960"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theomal Devinda Kurera, M.D.
• L&L Home Healthcare Services, Inc.
• La Catarina Healtn Clinic Inc
• Angela Katrina Lacuesta
• Juan Antonio Ladinez
• Caden Thomas Lage
• Gale Estelle Laidlaw, FNP-C
• Lally Medical Group, a Professional Corporation
• Brian Binh Lam, PHARM. D
• Lina Lam

• Community Based Hospice Care Agency in Montclair, CA
• Providers in Montclair, 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 May 8, 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.