Organization Active NPI

Sincerity Hospice Services, Inc

  • Community Based Hospice Care Agency
  • Anaheim, CA
National Provider Identifier
1811453871
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SINCERITY HOSPICE SERVICES, INC
Practice address
1700 E Lincoln Ave
201
Anaheim, CA 92805-4347
Phone
(714) 204-1424
Fax
(714) 333-4638
NPI assigned
Feb 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Procopio T Misa
Title
Authorized Official
Phone
(714) 204-1424

Specialties & licenses 1

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

Addresses

Primary practice location

1700 E Lincoln Ave
201
Anaheim, CA 92805-4347

Mailing address

1700 E Lincoln Ave
201
Anaheim, CA 92805-4347
Phone (714) 204-1424

Other identifiers 1

IdentifierTypeStateIssuer
C4238354OtherCASECRETARY OF STATE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200326002214 CA Part A Provider - Hospice 4587093513 Practice locations: Anaheim, CA

Hospice certification: CCN B31532

Legal name
SINCERITY HOSPICE SERVICES INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 8, 2021
Last certification
Dec 8, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 28, 2019 in CA
Enrollment address
1700 E Lincoln Ave
Ste 201
Anaheim, CA 92805-4347

Care Compare: Hospice

Medicare Care Compare
Listed as
Sincerity Hospice Services, IncCCN B31532 · All quality measures
Certified
Dec 8, 2021
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
05D2275953Sincerity Hospice Services, Inc1700 E Lincoln Ave Ste 201, Anaheim, CA 92805Certificate of waiverJan 30, 2027

National Provider Directory

National Provider Directory

Locations

1700 E Lincoln Ave
Ste 201
Anaheim, CA 92805
Phone (657) 220-5153

Ownership & related parties

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.

NameRoleSinceShare
Maria Teresa C Misa Individual 5% Or Greater Direct Ownership Interest May 31, 2024 49%
Corporate OfficerCeo/Secretary May 31, 2024 49%
Corporate DirectorCeo/Secretary May 31, 2024 49%
W-2 Managing EmployeeAd; May 31, 2024 49%
Ellen Dayon Individual Contracted Managing EmployeeMD; Apr 1, 2024
Procopio T Misa Individual 5% Or Greater Direct Ownership Interest Dec 13, 2022 51%
Corporate OfficerCfo May 31, 2024 51%
Corporate DirectorCfo May 31, 2024 51%
W-2 Managing EmployeeCfo May 31, 2024 51%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1811453871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E LINCOLN AVE",
            "address_2": "201",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054347",
            "telephone_number": "714-204-1424",
            "fax_number": "714-333-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E LINCOLN AVE",
            "address_2": "201",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054347",
            "telephone_number": "714-204-1424",
            "fax_number": "714-333-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINCERITY HOSPICE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "MISA",
        "authorized_official_first_name": "PROCOPIO",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "714-204-1424"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE",
            "identifier": "C4238354",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.