Apf Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

APF HOSPICE, INC.

Practice address

818 N Mountain Ave Ste 105
Upland, CA 91786-4164

Phone

(909) 931-1112

Fax

(909) 931-1211

NPI assigned

Mar 9, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Julian P. Ahumada

Title

Cfo

Phone

(760) 780-6417

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51705

Legal name

APF HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 9, 2022

Last certification

Jun 9, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 29, 2020 in CA

Enrollment address

818 N Mountain Ave
Ste 105
Upland, CA 91786-4164

Listed as

Apf Hospice, Inc.CCN B51705

Certified

Jun 9, 2022

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 1

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

Affiliated clinicians 2

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

• Tarek Ezzeddine, MD

  • Internal Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1740471879

  Hospice

  Care Compare affiliation
• Jose Fernando Velasquez, MD

  • Family Medicine Physician
  • Laguna Hills, CA
  • NPI 1053897561

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1851986038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N MOUNTAIN AVE STE 105",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864164",
            "telephone_number": "909-931-1112",
            "fax_number": "909-931-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N MOUNTAIN AVE STE 105",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864164",
            "telephone_number": "909-931-1112",
            "fax_number": "909-931-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APF HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "AHUMADA",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "760-780-6417",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Akidi
• Anthony Concepcion DDS
• Thomas Antonetto, LMFT
• Apex Med Family Healthcare
• Apf Home Health , Inc.
• Appling Hospice Care
• Rubina Aqeel, M.D.
• Ar Good Shepherd Hospice Inc
• Chelsea Araga, DPT
• Joseph Aranas

• Community Based Hospice Care Agency in Upland, CA
• Providers in Upland, 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 Mar 9, 2021; 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.