NPIMap

Organization Active NPI

Hoffmann Hospice of the Valley Inc

  • Community Based Hospice Care Agency
  • Bakersfield, CA
National Provider Identifier
1871589911
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
251G00000X Issued in CA
Legal business name
HOFFMANN HOSPICE OF THE VALLEY INC
Practice address
8501 Brimhall Rd
Building 100
Bakersfield, CA 93312-2252
Phone
(661) 410-1010
Fax
(661) 410-1048
NPI assigned
Sep 23, 2005
Last updated
Nov 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Authorized official

Name
Mr. Thomas Alan Hoffmann
Title
Administrator
Phone
(661) 410-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 251G00000X CA Primary

Addresses

Primary practice location

8501 Brimhall Rd
Building 100
Bakersfield, CA 93312-2252

Mailing address

4325 Buena Vista Rd BLDG a
Bakersfield, CA 93311-8701
Phone (661) 410-1010

Other identifiers 1

IdentifierTypeStateIssuer
HPC01646GMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030723000026 CA Part A Provider - Hospice 7214848019 Practice locations: Bakersfield, CA
O20201028001956 CA Part B Supplier - Clinic/Group Practice 7214848019 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Bakersfield, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871589911. Details of each certification follow.

Hospice certification: CCN 051646

Legal name
HOFFMANN HOSPICE OF THE VALLEY INC
Doing business as
HOFFMANN HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 25, 1995
Last certification
Dec 10, 2021
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1995 in CA
Enrollment address
4325 Buena Vista Rd
BLDG a
Bakersfield, CA 93311-8701

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Hoffmann HospiceCCN 051646 · All quality measures
Ownership
Non-Profit
Certified
Jan 25, 1995
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Hoffmann Hospice of2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Todd a Farrer Individual Contracted Managing EmployeeMD;Hospice Medical Director Jan 1, 2024
Corporate DirectorHospice Medical Director Jan 1, 2024
Cynthia Holzworth Individual W-2 Managing EmployeeDirector of Patient Care Services Jan 1, 2024
Edward Nichols Individual Corporate DirectorBoard Member Jan 1, 2009
Cassandra Wright Individual Corporate DirectorBoard Member Nov 1, 2016
Ross Hoffmann Individual Corporate Officer Jan 1, 2024
W-2 Managing EmployeeAd; Jan 1, 2024
Darci Nieto Individual Corporate Officer Jan 1, 2024
W-2 Managing EmployeeDirector of Operations Jan 1, 2024
Robin McNabb Individual Corporate DirectorBoard Member Jul 1, 2016
Grover Waldon Individual Corporate DirectorBoard Member Jan 1, 2006
James W Wren Individual Corporate DirectorBoard Member Jan 1, 2006
Darlene Mohlke Individual Corporate DirectorBoard Member Jan 1, 2009

Owners & managing parties with NPI records 2

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 11

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.

Affiliated clinicians 11

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

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1871589911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 BUENA VISTA RD BLDG A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118701",
            "telephone_number": "661-410-1010",
            "fax_number": "661-381-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 BRIMHALL RD",
            "address_2": "BUILDING 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122252",
            "telephone_number": "661-410-1010",
            "fax_number": "661-410-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOFFMANN HOSPICE OF THE VALLEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "HOFFMANN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-410-1010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "251G00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01646G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.