Assist on Call Palliative & Hospice Care, Inc.
Organization Active NPI Community Based Hospice Care Agency · Pleasant Hill, CA
NPI 1801430335 · NPPES record last updated Oct 28, 2019
Key facts
- NPI
- 1801430335
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- ASSIST ON CALL PALLIATIVE & HOSPICE CARE, INC.
- Practice address
- 2100 Monument Blvd Ste 8-B
Pleasant Hill, CA 94523-3489 - Phone
- (925) 969-7634
- Fax
- (925) 969-7636
- NPI assigned
- Oct 28, 2019
- Organization subpart
- No
Authorized official
- Name
- Mrs. Terry Cruz
- Title
- President/Ceo
- Phone
- (925) 969-7634
Affiliated clinicians 1
Medicare Care Compare: Hospice
- Listed as
- Assist on Call Palliative & Hospice Care, Inc
- Certified
- Oct 9, 2023
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Hospice certification: CCN B51733
- Legal name
- ASSIST ON CALL PALLIATIVE & HOSPICE CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 9, 2023
- Last certification
- Sep 20, 2023
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 2100 Monument Blvd
Ste 8B
Pleasant Hill, CA 94523-3489
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Maria Lourdes B Yambao |
5% Or Greater Direct Ownership Interest |
Oct 1, 2019 | 16.66% |
| Corporate Officer |
Oct 1, 2019 | 100% | |
| Corporate Director |
Oct 1, 2019 | 100% | |
| Yuri Douglas Ventanilla |
W-2 Managing Employee |
Oct 21, 2024 | |
| Terry Cruz |
5% Or Greater Direct Ownership Interest |
Oct 1, 2019 | 33.34% |
| Corporate Officer |
Oct 1, 2019 | 100% | |
| Corporate Director |
Oct 1, 2019 | 100% | |
| W-2 Managing Employee |
Oct 8, 2025 | 100% | |
| Antonio L. Basa |
5% Or Greater Direct Ownership Interest |
Oct 1, 2019 | 16.67% |
| Corporate Officer |
Oct 1, 2019 | 100% | |
| Corporate Director |
Oct 1, 2019 | 100% | |
| Olivia de Guzman |
W-2 Managing Employee |
Oct 21, 2024 | |
| Haydee Reyes |
5% Or Greater Direct Ownership Interest |
Oct 1, 2019 | 33.33% |
| Corporate Officer |
Oct 1, 2019 | 100% | |
| Corporate Director |
Oct 1, 2019 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200714000669 | CA | Part a Provider - Hospice | 7012330764 | Practice locations: Pleasant Hill, CA |
National Provider Directory
Locations
2100 Monument Blvd
Ste 8B
Pleasant Hill, CA 94523
Phone (925) 969-7634
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
2100 Monument Blvd Ste 8-B
Pleasant Hill, CA 94523-3489
Mailing address
2100 Monument Blvd Ste 8-B
Pleasant Hill, CA 94523-3489
Phone (925) 969-7634
Other names
- Assist On Call Palliative & Hospice Care, Inc.
Other providers in Pleasant Hill, CA
- Jacklyn Aranda
- Ilia Arieta
- Joan Arieta
- Nolan Arieta
- Francesca Assemi
- Assist on Call Professional in-Home Care Services, Inc,
- Assist on Call, Inc.
- Amelia Atalig-Smith
- David Charles Atkinson
- Lauren Atlas
All providers in Pleasant Hill, CA · Community Based Hospice Care Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.