Organization Active NPI

Dignity Hospice

  • Community Based Hospice Care Agency
  • Ontario, CA
National Provider Identifier
1821570060
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DIGNITY HOSPICE
Practice address
215 S Laurel Ave
Ontario, CA 91762-3833
Phone
(909) 999-7919
NPI assigned
Sep 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Miles Ballesteros
Title
Chief Executive Officer
Phone
(909) 999-7919

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

215 S Laurel Ave
Ontario, CA 91762-3833

Mailing address

9650 Business Center Dr Ste 107
Rancho Cucamonga, CA 91730-4536
Phone (909) 999-7919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181010001282 CA Part A Provider - Hospice 6901158534 Practice locations: Ontario, CA

Hospice certification: CCN D61567

Legal name
DIGNITY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 29, 2025
Last certification
Jun 17, 2025
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 8, 2018 in CA
Enrollment address
215 S Laurel Ave
Ontario, CA 91762-3833

Care Compare: Hospice

Medicare Care Compare
Listed as
Dignity HospiceCCN D61567
Certified
Jul 29, 2025
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
05D2167956Dignity Hospice215 S Laurel Ave, Ontario, CA 91762Certificate of waiverJun 17, 2027

National Provider Directory

National Provider Directory

Locations

215 S Laurel Ave
Ontario, CA 91762
Phone (909) 999-7917

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
Miles Ballesteros Individual 5% Or Greater Direct Ownership Interest Aug 8, 2018 34%
Corporate OfficerAdministrator/Secretary Aug 8, 2018
Corporate DirectorAdministrator/Secretary Aug 8, 2018 34%
W-2 Managing EmployeeAdministrator/Secretary Aug 8, 2018 34%
Operational/Managerial ControlAdministrator/Secretary Aug 8, 2018 34%
Antonio Nario Individual 5% Or Greater Direct Ownership Interest Aug 8, 2018 33%
Corporate OfficerChief Financial Officer Aug 8, 2018 33%
Corporate DirectorChief Financial Officer Aug 8, 2018 33%
W-2 Managing EmployeeChief Financial Officer Aug 8, 2018 33%
Ella Mae Apacible Individual 5% Or Greater Direct Ownership Interest Aug 8, 2018 33%
Corporate OfficerChief Operating Officer Aug 8, 2018 33%
Corporate DirectorChief Operating Officer Aug 8, 2018 33%
W-2 Managing EmployeeChief Operating Officer Aug 8, 2018 33%
Operational/Managerial ControlChief Operating Officer Aug 8, 2018 33%

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1821570060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 BUSINESS CENTER DR STE 107",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304536",
            "telephone_number": "909-999-7919",
            "fax_number": "909-697-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S LAUREL AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623833",
            "telephone_number": "909-999-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "BALLESTEROS",
        "authorized_official_first_name": "MILES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-999-7919"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.