Active NPI
Perfect Care Hospice, Inc.
- Community Based Hospice Care Agency
- Hollywood, CA
National Provider Identifier
1861969263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PERFECT CARE HOSPICE, INC.
- Practice address
- 6464 W Sunset Blvd Ste 870
Hollywood, CA 90028-8041 - Phone
- (818) 853-9409
- Fax
- (818) 301-4914
- NPI assigned
- Oct 24, 2018
- Last updated
- Nov 7, 2023
- 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
- Ms. Anna Madueke
- Title
- Ceo/President
- Phone
- (818) 853-9409
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
6464 W Sunset Blvd Ste 870
Hollywood, CA 90028-8041
Mailing address
6464 W Sunset Blvd Ste 870
Hollywood, CA 90028-8041
Phone (323) 498-0002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190326002692 | CA | Part A Provider - Hospice | 7416297627 | Practice locations: Los Angeles, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1861969263. Details of each certification follow.
Hospice certification: CCN B21529
- Legal name
- PERFECT CARE HOSPICE, INC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 6, 2021
- Last certification
- May 6, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Enrollment address
- 6464 W Sunset Blvd
Ste 870
Los Angeles, CA 90028-8041
Care Compare: Hospice
Medicare Care Compare- Listed as
- Perfect Care Hospice, Inc
- Ownership
- For-Profit
- Certified
- May 6, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
5300 Santa Monica Blvd
Ste 205
Los Angeles, CA 90029
6464 W Sunset Blvd
Ste 870
Los Angeles, CA 90028
Phone (818) 853-9409
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 |
|---|---|---|---|
| Inna Madueke | 5% Or Greater Direct Ownership Interest | Sep 27, 2024 | 100% |
| Corporate Officer | Sep 27, 2024 | 100% | |
| Corporate Director | Sep 27, 2024 | 100% | |
| W-2 Managing Employee | Sep 27, 2024 | 100% | |
| Abdul Rab Khan | Contracted Managing Employee | Jan 22, 2024 | 100% |
| W-2 Managing Employee | Feb 1, 2024 | ||
| Victoria Chen | W-2 Managing Employee | Feb 2, 2022 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699315200000",
"number": "1861969263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6464 W SUNSET BLVD STE 870",
"city": "HOLLYWOOD",
"state": "CA",
"postal_code": "900288041",
"telephone_number": "323-498-0002",
"fax_number": "323-372-3509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6464 W SUNSET BLVD STE 870",
"city": "HOLLYWOOD",
"state": "CA",
"postal_code": "900288041",
"telephone_number": "818-853-9409",
"fax_number": "818-301-4914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFECT CARE HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-24",
"last_updated": "2023-11-07",
"status": "A",
"authorized_official_last_name": "MADUEKE",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "818-853-9409",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.