Reachwell Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

REACHWELL HOSPICE CARE INC

Practice address

805 W Duarte Rd Ste 103C
Arcadia, CA 91007-7590

Phone

(801) 580-5939

NPI assigned

Sep 21, 2018

Organization subpart

No

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

Authorized official

Name

Amalia Abubo Dy, REGISTERED NURSE

Title

President/Ceo/Owner

Phone

(801) 580-5939

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31700

Legal name

REACHWELL HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 20, 2021

Last certification

May 20, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 10, 2018 in CA

Enrollment address

805 W Duarte Rd
Ste 103C
Arcadia, CA 91007-7590

Listed as

Reachwell Hospice Care, Inc.CCN B31700

Certified

May 20, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Affiliated clinicians 1

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

• Roy Harper Jackson, M.D.

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1669424982

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1831673144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W DUARTE RD STE 103C",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W DUARTE RD STE 103C",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077590",
            "telephone_number": "801-580-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACHWELL HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "DY",
        "authorized_official_first_name": "AMALIA",
        "authorized_official_middle_name": "ABUBO",
        "authorized_official_title_or_position": "PRESIDENT/CEO/OWNER",
        "authorized_official_telephone_number": "801-580-5939",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Arcadia, CA
• Providers in Arcadia, 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 Jan 19, 2023; 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.