Organization Active NPI

Perfect Care Hospice, Inc.

  • Community Based Hospice Care Agency
  • Hollywood, CA
National Provider Identifier
1861969263
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Enrollment address
6464 W Sunset Blvd
Ste 870
Los Angeles, CA 90028-8041

Care Compare: Hospice

Medicare Care Compare
Listed as
Perfect Care Hospice, IncCCN B21529 · All quality measures
Ownership
For-Profit
Certified
May 6, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Inna Madueke Individual 5% Or Greater Direct Ownership InterestCeo Sep 27, 2024 100%
Corporate OfficerCeo Sep 27, 2024 100%
Corporate DirectorCeo Sep 27, 2024 100%
W-2 Managing EmployeeCeo Sep 27, 2024 100%
Abdul Rab Khan Individual Contracted Managing EmployeeMD; Jan 22, 2024 100%
W-2 Managing Employee Feb 1, 2024
Victoria Chen Individual W-2 Managing EmployeeAd; 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

Verify at the official NPI Registry.