Perfect Care Hospice, Inc.
Organization Active NPI Community Based Hospice Care Agency · Hollywood, CA
NPI 1861969263 · NPPES record last updated Nov 7, 2023
Key facts
- NPI
- 1861969263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 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
- Organization subpart
- No
Authorized official
- Name
- Ms. Anna Madueke
- Title
- Ceo/President
- Phone
- (818) 853-9409
Medicare Care Compare: Hospice
- Listed as
- Perfect Care Hospice, Inc
- Ownership
- For-Profit
- Certified
- May 6, 2021
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
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 · Proprietary
- Enrollment address
- 6464 W Sunset Blvd
Ste 870
Los Angeles, CA 90028-8041
All disclosed owners & managing parties 3
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190326002692 | CA | Part a Provider - Hospice | 7416297627 | Practice locations: Los Angeles, CA |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
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
Other providers in Hollywood, CA
- Dong Cheol Oh
- Prince Okosun
- Arturo Palos Chavez
- Joohwa Park
- Patrick L Mullens M D Inc
- Larissa Isabel Pineda
- Premier Emergency Physicians of California Medical Group PC
- Radius Anesthesia of Kentucky PLLC
- Radius Pain Management PC
- Thaworn Rathananakintara
All providers in Hollywood, CA · Community Based Hospice Care Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.