Friendly Hospice Care, Inc.

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

Legal business name

FRIENDLY HOSPICE CARE, INC.

Practice address

467 Dover Cir
Brea, CA 92821-6024

Phone

(714) 388-8028

Fax

(714) 276-9909

NPI assigned

May 13, 2021

Last updated

May 13, 2021By 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

Rowell Miko Cordero Santos

Title

President

Phone

(714) 388-8028

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780258913. Details of each certification follow.

• CCN D61521 Hospice · Active · Details

Hospice certification: CCN D61521

Legal name

FRIENDLY HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 29, 2024

Last certification

Jul 25, 2024

Organization structure

CorporationProprietary

Enrollment address

1700 E Lincoln Ave
Ste 202-a
Anaheim, CA 92805-4347

Listed as

Friendly Hospice Care, Inc.CCN D61521 · All quality measures

Certified

Jul 29, 2024

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 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.

• Robert C Schreiman, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Huntington Beach, CA
  • NPI 1871605196

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 3

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

• Ellen Dayon, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Seal Beach, CA
  • NPI 1043279359

  Hospice

  Care Compare affiliation
• Toan T. Tyler Nguyen, M.D.

  • Specialist
  • Long Beach, CA
  • NPI 1639129711

  Hospice

  Care Compare affiliation
• Robert C Schreiman, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Huntington Beach, CA
  • NPI 1871605196

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1780258913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 DOVER CIR",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216024",
            "telephone_number": "714-388-8028",
            "fax_number": "714-276-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 DOVER CIR",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216024",
            "telephone_number": "714-388-8028",
            "fax_number": "714-276-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ROWELL MIKO",
        "authorized_official_middle_name": "CORDERO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-388-8028"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Francis
• Fratt Dental Corporation (Brightnow Dental Brea)
• Frederic H. Corbin, M.D. a Professional Corporation
• Freely You Wellness
• Rebecca Friend, SLP
• Functional Restoration Medical Center, Inc, (Brea Open MRI)
• Gabrielle Home Health Inc
• Gabrielle Hospice Care Inc
• Gaffino and Reagan Dental Corporation (Brea Dentist and Orthodontics)
• Gail Ann Krishnan DDS Ms Dental Corp

• Hospice Registered Nurse in Brea, CA
• Providers in Brea, CA by specialty
• Hospice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.