Ivory Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

IVORY HOSPICE, INC

Doing business as

Ivory Hospice and Palliative Care

Practice address

233 E Pomona Blvd
Suite a
Monterey Park, CA 91755-7226

Phone

(323) 724-7802

Fax

(323) 724-7800

NPI assigned

Nov 2, 2009

Last updated

May 26, 2020By 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

Ms. Ma Alma Velasco Caluag, LVN

Title

Ceo/President

Phone

(323) 724-7802

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ivory Hospice and Palliative Care 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 1790011310. Details of each certification follow.

• CCN 551643 Hospice · Active · Details

Hospice certification: CCN 551643

Legal name

IVORY HOSPICE INC

Doing business as

IVORY HOSPICE & PALLIATIVE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 4, 2012

Last certification

Apr 13, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 23, 2004 in CA

Enrollment address

233 E Pomona Blvd
Suite a
Monterey Park, CA 91755-7200

Listed as

Ivory Hospice & Palliative CareCCN 551643 · All quality measures

Ownership

For-Profit

Certified

Feb 4, 2012

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 2

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

Affiliated clinicians 1

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

• Oscar L. Chien, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Gabriel, CA
  • NPI 1679675904

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1790011310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E POMONA BLVD",
            "address_2": "SUITE A",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917557226",
            "telephone_number": "323-724-7802",
            "fax_number": "323-724-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E POMONA BLVD",
            "address_2": "SUITE A",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917557226",
            "telephone_number": "323-724-7802",
            "fax_number": "323-724-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVORY HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "CALUAG",
        "authorized_official_first_name": "MA ALMA",
        "authorized_official_middle_name": "VELASCO",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "323-724-7802",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790011310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivory Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Monterey Park, CA
• Providers in Monterey Park, 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 26, 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.