Crown Care Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CROWN CARE HOSPICE INC

Practice address

10568 Magnolia Ave.
Suite106
Stanton, CA 92804

Phone

(714) 325-5037

Fax

(714) 333-4262

NPI assigned

Apr 24, 2020

Organization subpart

No

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

Authorized official

Name

Philip John Pablo

Title

Ceo

Phone

(760) 885-5960

Specialties & licenses 1

Addresses

Other names 1

• Crown Care Hospice Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A11679

Legal name

CROWN CARE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 18, 2021

Last certification

Jan 18, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

2301 W Lincoln Ave
Ste 249B
Anaheim, CA 92801-5135

Listed as

Crown Care Hospice IncCCN A11679

Ownership

For-Profit

Certified

Jan 18, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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 2

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

• Michael Larry Cutler, M.D.

  • Adult Medicine Physician
  • Poway, CA
  • NPI 1871620518

  Contracted Managing Employee

  CMS ownership
• Huy Thanh Ho, M.D.

  • Specialist
  • San Diego, CA
  • NPI 1750370458

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Huy Thanh Ho, M.D.

  • Specialist
  • San Diego, CA
  • NPI 1750370458

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1811517261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10568 MAGNOLIA AVE.",
            "address_2": "SUITE106",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "714-325-5037",
            "fax_number": "714-333-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10568 MAGNOLIA AVE.",
            "address_2": "SUITE106",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "714-325-5037",
            "fax_number": "714-333-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN CARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "PABLO",
        "authorized_official_first_name": "PHILIP JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-885-5960"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Care Hospice Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dayanna Corona-Murillo
• Leoanrdo Cortes
• Alondra Cortez-Garcia
• Cpo Mobility Products Inc.
• Roger Alan Crawford, D.P.M.
• Cruz Transportation Services
• Cynthia Cruz
• Amy Curiel
• Evy V Dang
• Jessica Dang

• All providers in Stanton, CA
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.