A-One Hospice Providers, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

A-ONE HOSPICE PROVIDERS, INC.

Practice address

4110 Edison Ave Ste 205
Chino, CA 91710-8410

Phone

(909) 295-7060

Fax

(909) 295-7061

NPI assigned

Jul 28, 2013

Last updated

May 19, 2021By 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. Mildred Navarro

Title

Administrator

Phone

(909) 295-7060

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811339138. Details of each certification follow.

• CCN 751558 Hospice · Active · Details

Hospice certification: CCN 751558

Legal name

A-ONE HOSPICE PROVIDERS, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 29, 2014

Last certification

Aug 5, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 20, 2013 in CA

Enrollment address

4110 Edison Ave
Ste 205
Chino, CA 91710-8410

Listed as

A-One Hospice Providers, IncCCN 751558 · All quality measures

Ownership

For-Profit

Certified

Aug 29, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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

Affiliated clinicians 2

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

• Maria Lourdes Castanos De Leon, M.D.

  • General Practice Physician
  • South Gate, CA
  • NPI 1285775437

  Hospice

  Care Compare affiliation
• Venkata S.R. Pulakanti, M.D.

  • Internal Medicine Physician
  • Santa Ana, CA
  • NPI 1356521843

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1374969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1811339138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 EDISON AVE STE 205",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917108410",
            "telephone_number": "909-295-7060",
            "fax_number": "909-295-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 EDISON AVE STE 205",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917108410",
            "telephone_number": "909-295-7060",
            "fax_number": "909-295-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-ONE HOSPICE PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-28",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-295-7060",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION",
            "identifier": "C3582174",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Chino, 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 19, 2021; 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.