Equanimity Hospice & Palliative Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EQUANIMITY HOSPICE & PALLIATIVE CARE, INC.

Doing business as

Hospice of IE and OC

Practice address

22365 Barton Rd
Ste 100
Grand Terrace, CA 92313-5015

Phone

(714) 225-7894

NPI assigned

Sep 11, 2013

Last updated

Mar 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phillip Alhir, MS

Title

Ceo

Phone

(909) 777-3472

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hospice of IE and OC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780019612. Details of each certification follow.

• CCN 751754 Hospice · Active · Details

Hospice certification: CCN 751754

Legal name

EQUANIMITY HOSPICE & PALLIATIVE CARE, INC.

Doing business as

HOSPICE OF IE AND OC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 26, 2016

Last certification

Feb 8, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 30, 2013 in CA

Enrollment address

22365 Barton Rd 100
Grand Terrace, CA 92313-5037

Listed as

Hospice of Ie and OcCCN 751754 · All quality measures

Ownership

For-Profit

Certified

Feb 26, 2016

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 5

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 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• George A Ponce Sr., M.D.

  • Cardiovascular Disease Physician
  • Moreno Valley, CA
  • NPI 1174554935

  Contracted Managing Employee, Operational/Managerial Control

  CMS ownership
• Anna Maria Wilson, MSN, ACNP

  • Acute Care Nurse Practitioner
  • Moreno Valley, CA
  • NPI 1326073263

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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.

• Melanchton Atiga Mangoba, M.D.

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1376605717
  NPD

Affiliated clinicians 1

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

• George A Ponce Sr., M.D.

  • Cardiovascular Disease Physician
  • Moreno Valley, CA
  • NPI 1174554935

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1780019612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22365 BARTON RD",
            "address_2": "STE 100",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135015",
            "telephone_number": "714-225-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22365 BARTON RD",
            "address_2": "STE 100",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135015",
            "telephone_number": "714-225-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUANIMITY HOSPICE & PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "ALHIR",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-777-3472",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION#",
            "identifier": "C3598996",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of IE and OC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Ducey, MS
• Rachel Duncan-Creger
• Mattie Celine Duran
• Emeritus Corporation (Emeritus at Grand Terrace)
• Trisha N Engel
• Eric Eschweiler, DNP, RN, FNP-C
• Marisol Espinoza Garcia, ACSW 123201
• Philip Thomas Farabaugh, MD
• Edna Karina Favela, R.D., CDE
• Ramon U. Ferra, MD

• Community Based Hospice Care Agency in Grand Terrace, CA
• Providers in Grand Terrace, 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 Mar 20, 2023; 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.