Atrium Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ATRIUM HOSPICE LLC

Practice address

144 Continente Ave Ste 130
Brentwood, CA 94513-7102

Phone

(925) 219-2250

NPI assigned

Dec 26, 2019

Last updated

Dec 26, 2019By 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

Maria Niduaza

Title

Owner

Phone

(925) 219-2250

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 1871132613. Details of each certification follow.

• CCN A11723 Hospice · Active · Details

Hospice certification: CCN A11723

Legal name

ATRIUM HOSPICE LLC

Doing business as

ATRIUM HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 12, 2021

Last certification

Mar 12, 2021

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Dec 9, 2019 in CA

Enrollment address

144 Continente Ave
Ste 130
Brentwood, CA 94513-7102

Listed as

Atrium Hospice LLCCCN A11723 · All quality measures

Ownership

For-Profit

Certified

Mar 12, 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 5

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

Affiliated clinicians 3

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

• Robert Assibey, M.D.

  • Family Medicine Physician
  • French Camp, CA
  • NPI 1942739487

  Hospice

  Care Compare affiliation
• David H Lee, M.D.

  • Family Medicine Physician
  • Martinez, CA
  • NPI 1427330497

  Hospice

  Care Compare affiliation
• Ann Bich Huyen Nguyen-Traxler, M.D.

  • Internal Medicine Physician
  • Berkeley, CA
  • NPI 1376770933

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1871132613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 CONTINENTE AVE STE 130",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945137102",
            "telephone_number": "925-219-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 CONTINENTE AVE STE 130",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945137102",
            "telephone_number": "925-219-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATRIUM HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "NIDUAZA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-219-2250"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khwadri Ascencio Wigfall
• Rianna Jae Asuncion
• Julian-Ethan Atalit
• John Thomas Atkins
• Atrium Home Health LLC
• Aura Home Health LLC
• Aura Hospice LLC
• Jenna Marie Tioseco Aure, MA, PPS
• Alyssa Austin
• Olivia Avecilla, PT

• Community Based Hospice Care Agency in Brentwood, CA
• Providers in Brentwood, 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 Dec 26, 2019; 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.