NPIMap

Organization Active NPI

Priority Hospice Care Inc.

  • Community Based Hospice Care Agency
  • Covina, CA
National Provider Identifier
1801148564
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PRIORITY HOSPICE CARE INC.
Practice address
410 W Badillo St Ste 200
Covina, CA 91723-1832
Phone
(626) 335-1082
Fax
(626) 609-0430
NPI assigned
Oct 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Authorized official

Name
Mary Ann Llamas Garcia
Title
Director of Operations
Phone
(626) 335-1082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X CA Primary

Addresses

Primary practice location

410 W Badillo St Ste 200
Covina, CA 91723-1832

Mailing address

410 W Badillo St Ste 200
Covina, CA 91723-1832
Phone (626) 335-1082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111013000121 CA Part A Provider - Hospice 7618149741 1 other NPI on this enrollment
Practice locations: Covina, CA

Hospice certification: CCN 751513

Legal name
PRIORITY HOSPICE CARE INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 19, 2013
Last certification
Oct 9, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jun 23, 2011 in CA
Enrollment address
410 W Badillo St
Ste 200
Covina, CA 91723-1832

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Priority Hospice Care, IncCCN 751513
Ownership
For-Profit
Certified
Dec 19, 2013
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2039324Priority Hospice Care Inc410 Badillo St, Ste 200, Covina, CA 91723Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Priority Hospice Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1285 E Route 66
Glendora, CA 91740
Phone (626) 335-1082

Ownership & related parties

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.

NameRoleSinceShare
Byron F Garcia Individual 5% Or Greater Direct Ownership Interest Aug 5, 2014 50%
Corporate OfficerPresident/Cfo Aug 5, 2014 50%
Corporate DirectorPresident/Cfo Aug 5, 2014 50%
W-2 Managing EmployeeExecutive Director/Director of P Aug 5, 2014 50%
Operational/Managerial ControlExecutive Director/Director of P Aug 5, 2014 50%
Mary Ann Llamas Garcia Individual 5% Or Greater Direct Ownership Interest Aug 5, 2014 50%
Corporate OfficerSecretary Aug 5, 2014 50%
W-2 Managing EmployeeDirector of Operations Aug 5, 2014 50%
Operational/Managerial ControlDirector of Operations Aug 5, 2014 50%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1801148564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W BADILLO ST STE 200",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231832",
            "telephone_number": "626-335-1082",
            "fax_number": "626-609-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W BADILLO ST STE 200",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231832",
            "telephone_number": "626-335-1082",
            "fax_number": "626-609-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY HOSPICE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "LLAMAS GARCIA",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "626-335-1082"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.