Inspired Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

INSPIRED HOSPICE CARE, INC.

Practice address

21044 Sherman Way Ste 212
Canoga Park, CA 91303-3658

Phone

(818) 757-7200

Fax

(818) 452-4745

NPI assigned

Sep 29, 2020

Last updated

Jun 6, 2022By 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

Jenny Jung

Title

Ceo

Phone

(818) 757-7200

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 1871100289. Details of each certification follow.

• CCN B21656 Hospice · Active · Details

Hospice certification: CCN B21656

Legal name

INSPIRED HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 8, 2021

Last certification

Jul 8, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 29, 2020 in CA

Enrollment address

12015 Mora Dr
Ste 3
Santa Fe Springs, CA 90670-7323

Listed as

Inspired Hospice Care, IncCCN B21656 · All quality measures

Ownership

For-Profit

Certified

Jul 8, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

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

• Jose J Guerra, D.O.

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1346396645

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 5

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

• Kim Chong, M.D.

  • Internal Medicine Physician
  • Downey, CA
  • NPI 1316124431

  Hospice

  Care Compare affiliation
• David Fahim, DO

  • Family Medicine Physician
  • San Dimas, CA
  • NPI 1396481891

  Hospice

  Care Compare affiliation
• Jose J Guerra, D.O.

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1346396645

  Hospice

  Care Compare affiliation
• Andro Sharobiem, M.D.

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1073711453

  Hospice

  Care Compare affiliation
• Weilee Eddie Yeh, M.D.

  • Family Medicine Physician
  • Hemet, CA
  • NPI 1104835065

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1871100289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21044 SHERMAN WAY STE 212",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033658",
            "telephone_number": "818-757-7200",
            "fax_number": "818-452-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21044 SHERMAN WAY STE 212",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033658",
            "telephone_number": "818-757-7200",
            "fax_number": "818-452-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-757-7200"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Canoga Park, CA
• Providers in Canoga Park, 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 Jun 6, 2022; 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.