Organization Active NPI

Silveroak Hospice and Palliative Care Inc

  • Community Based Hospice Care Agency
  • Ontario, CA
National Provider Identifier
1851952444
Registry record updated Feb 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SILVEROAK HOSPICE AND PALLIATIVE CARE INC
Practice address
525 N Laurel Ave
Ontario, CA 91762-3213
Phone
(909) 233-4120
NPI assigned
Jun 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2020

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

Authorized official

Name
Gabriela Galban
Title
Ceo
Phone
(909) 233-4120

Specialties & licenses 1

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

Addresses

Primary practice location

525 N Laurel Ave
Ontario, CA 91762-3213

Mailing address

525 N Laurel Ave Ste 103
Ontario, CA 91762-3213
Phone (909) 233-4120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200307000031 CA Part A Provider - Hospice 5395173231 Practice locations: Ontario, CA

Hospice certification: CCN B21795

Legal name
SILVEROAK HOSPICE AND PALLIATIVE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 11, 2021
Last certification
Aug 11, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 2, 2019 in CA
Enrollment address
525 N Laurel Ave
Ste 103
Ontario, CA 91762-3213

Care Compare: Hospice

Medicare Care Compare
Listed as
Silveroak Hospice and Palliative Care, IncCCN B21795
Ownership
For-Profit
Certified
Aug 11, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

525 N Laurel Ave
Ste 103
Ontario, CA 91762
Phone (909) 233-4120

525 N Laurel Ave
Ontario, CA 91762
Phone (909) 391-3616

Ownership & related parties

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.

NameRoleSinceShare
Elrhine Holcomb Individual 5% Or Greater Direct Ownership Interest Mar 27, 2019 25%
Corporate OfficerSecretary Mar 27, 2019 25%
Corporate DirectorSecretary Mar 27, 2019 25%
W-2 Managing EmployeeSecretary, Office Manager Mar 27, 2019 25%
Operational/Managerial ControlSecretary, Office Manager Mar 27, 2019 25%
Bryan a David Individual 5% Or Greater Direct Ownership Interest Mar 27, 2019 25%
Corporate OfficerCfo/Administrator Mar 27, 2019 25%
Corporate DirectorCfo/Administrator Mar 27, 2020 25%
W-2 Managing EmployeeCfo/Administrator Mar 27, 2019 25%
Operational/Managerial ControlCfo/Administrator Mar 27, 2019 25%
Ryan Briggs Individual 5% Or Greater Direct Ownership Interest Mar 27, 2019 25%
Corporate OfficerVice President/Director of Patie Mar 27, 2019 25%
Corporate DirectorVice President/Director of Patie Mar 27, 2019 25%
W-2 Managing EmployeeVice President/Director of Patie Mar 27, 2019 25%
Operational/Managerial ControlVice President/Director of Patie Mar 27, 2019 25%
Gabriela Galban Individual 5% Or Greater Direct Ownership Interest Mar 27, 2019 25%
Corporate OfficerCeo/Administrator Designee Mar 27, 2019 25%
Corporate DirectorCeo/Administrator Designee Mar 27, 2019 25%
W-2 Managing EmployeeCeo/Administrator Designee Mar 27, 2019 25%
Operational/Managerial ControlCeo/Administrator Designee Mar 27, 2019 25%

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581724800000",
    "number": "1851952444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N LAUREL AVE STE 103",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623213",
            "telephone_number": "909-233-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N LAUREL AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623213",
            "telephone_number": "909-233-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVEROAK HOSPICE AND PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A",
        "authorized_official_last_name": "GALBAN",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-233-4120"
    },
    "taxonomies": [
        {
            "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.