Pure Care Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PURE CARE HOSPICE, INC.

Practice address

11911 Artesia Blvd
Suite 208
Cerritos, CA 90701-4065

Phone

(562) 229-8960

NPI assigned

Jan 6, 2017

Last updated

Jan 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Teresita Calagui

Title

Administrator

Phone

(562) 229-8960

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871039487. Details of each certification follow.

• CCN B21699 Hospice · Active · Details

Hospice certification: CCN B21699

Legal name

PURE CARE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 30, 2021

Last certification

Mar 30, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 12, 2015 in CA

Enrollment address

11911 Artesia Blvd
Ste 208
Cerritos, CA 90701-4065

Listed as

Pure Care Hospice, IncCCN B21699 · All quality measures

Ownership

For-Profit

Certified

Mar 30, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Evelyn Ganaden Basco, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1669531679

  W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evelyn Ganaden Basco, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1669531679
  NPD (past)

Affiliated clinicians 2

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

• Loida Constantino, M.D.

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1487767604

  Hospice

  Care Compare affiliation
• Evelyn Ganaden Basco, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1669531679

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1871039487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 ARTESIA BLVD",
            "address_2": "SUITE 208",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907014065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 ARTESIA BLVD",
            "address_2": "SUITE 208",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907014065",
            "telephone_number": "562-229-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE CARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "CALAGUI",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-229-8960",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Cerritos, CA
• Providers in Cerritos, 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 Jan 6, 2017; 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.