Regent Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

REGENT HOSPICE, INC.

Practice address

22048 Sherman Way
Suite 103
Canoga Park, CA 91303-3001

Phone

(818) 884-3855

Fax

(818) 884-3854

NPI assigned

Apr 24, 2013

Last updated

Apr 24, 2013By 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

Charles R Lombard

Title

Ceo

Phone

(818) 884-3855

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 1790129492. Details of each certification follow.

• CCN 921656 Hospice · Active · Details

Hospice certification: CCN 921656

Legal name

REGENT HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 2, 2017

Last certification

Mar 4, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

22048 Sherman Way 103
Canoga Park, CA 91303-3010

Listed as

Regent Hospice, IncCCN 921656 · All quality measures

Ownership

For-Profit

Certified

May 2, 2017

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

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.

Owners & managing parties with NPI records 1

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

• Hung M Nguyen, D.O.

  • Family Medicine Physician
  • Orange, CA
  • NPI 1447284526

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1790129492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22048 SHERMAN WAY",
            "address_2": "SUITE 103",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033001",
            "telephone_number": "818-884-3855",
            "fax_number": "818-884-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22048 SHERMAN WAY",
            "address_2": "SUITE 103",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033001",
            "telephone_number": "818-884-3855",
            "fax_number": "818-884-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENT HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "LOMBARD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-884-3855"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Canoga Park, CA
• Providers in Canoga 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 Apr 24, 2013; 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.