Active NPI
Dignity Hospice
- Community Based Hospice Care Agency
- Ontario, CA
National Provider Identifier
1821570060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Hospice
- Certified
- Jul 29, 2025
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2167956 | Dignity Hospice | Certificate of waiver | Jun 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Miles Ballesteros | 5% Or Greater Direct Ownership Interest | Aug 8, 2018 | 34% |
| Corporate Officer | Aug 8, 2018 | ||
| Corporate Director | Aug 8, 2018 | 34% | |
| W-2 Managing Employee | Aug 8, 2018 | 34% | |
| Operational/Managerial Control | Aug 8, 2018 | 34% | |
| Antonio Nario | 5% Or Greater Direct Ownership Interest | Aug 8, 2018 | 33% |
| Corporate Officer | Aug 8, 2018 | 33% | |
| Corporate Director | Aug 8, 2018 | 33% | |
| W-2 Managing Employee | Aug 8, 2018 | 33% | |
| Ella Mae Apacible | 5% Or Greater Direct Ownership Interest | Aug 8, 2018 | 33% |
| Corporate Officer | Aug 8, 2018 | 33% | |
| Corporate Director | Aug 8, 2018 | 33% | |
| W-2 Managing Employee | Aug 8, 2018 | 33% | |
| Operational/Managerial Control | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.