Santa Maria Hospice,Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SANTA MARIA HOSPICE,INC.

Practice address

222 Carmen LN Ste 206
Santa Maria, CA 93458-7777

Phone

(805) 361-0264

Fax

(805) 361-0278

NPI assigned

Aug 14, 2015

Last updated

Mar 29, 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

Anahit Khrimian

Title

Contact Person

Phone

(818) 939-2814

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 1790151652. Details of each certification follow.

• CCN 921742 Hospice · Active · Details

Hospice certification: CCN 921742

Legal name

SANTA MARIA HOSPICE,INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 5, 2018

Last certification

Nov 13, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 3, 2015 in CA

Enrollment address

222 Carmen LN
Ste 206
Santa Maria, CA 93458-7777

Listed as

Santa Maria Hospice, IncCCN 921742 · All quality measures

Ownership

For-Profit

Certified

Feb 5, 2018

Medicare certification status

ActiveFrom the Provider of Services file

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 1

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

• Arlene C Gonzales, M.D.

  • Family Medicine Physician
  • Santa Maria, CA
  • NPI 1154432847

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Arlene C Gonzales, M.D.

  • Family Medicine Physician
  • Santa Maria, CA
  • NPI 1154432847

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1790151652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CARMEN LN STE 206",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587777",
            "telephone_number": "805-361-0264",
            "fax_number": "805-361-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CARMEN LN STE 206",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587777",
            "telephone_number": "805-361-0264",
            "fax_number": "805-361-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MARIA HOSPICE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "KHRIMIAN",
        "authorized_official_first_name": "ANAHIT",
        "authorized_official_title_or_position": "CONTACT PERSON",
        "authorized_official_telephone_number": "818-939-2814"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santa Maria Family Medicine
• Santa Maria Gastroenterology Medical Group Inc
• Santa Maria Gastroenterology Medical Group Inc
• Santa Maria Gastroenterology Medical Group Inc.
• Santa Maria Healthcare, Inc. (Villa Maria Healthcare Center)
• Santa Maria Joint Union High School District
• Santa Maria Neonatology Inc a Professional Corporation (Santa Maria Neonatology Inc)
• Santa Maria Nephrology Medical Group
• Santa Maria Post Acute LLC (Santa Maria Post Acute)
• Santa Maria Support Services

• Community Based Hospice Care Agency in Santa Maria, CA
• Providers in Santa Maria, 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 29, 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.