Organization Active NPI

Kumar Lifecare Hospice Inc

  • Community Based Hospice Care Agency
  • Winnetka, CA
National Provider Identifier
1871937227
Registry record updated Apr 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
KUMAR LIFECARE HOSPICE INC
Practice address
20061 Saticoy St
Suite 202
Winnetka, CA 91306-2688
Phone
(818) 701-0701
Fax
(818) 701-0711
NPI assigned
Apr 28, 2013
Last updated
Apr 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2013

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

Authorized official

Name
Narinder Kumar
Title
Ceo
Phone
(818) 701-0701

Specialties & licenses 1

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

Addresses

Primary practice location

20061 Saticoy St
Suite 202
Winnetka, CA 91306-2688

Mailing address

20061 Saticoy St
Suite 202
Winnetka, CA 91306-2688
Phone (818) 701-0701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130607000431 CA Part A Provider - Hospice 0244478980 Practice locations: Northridge, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871937227. Details of each certification follow.

Hospice certification: CCN 751649

Legal name
KUMAR LIFECARE HOSPICE INC
Doing business as
AASTA HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 16, 2015
Last certification
Apr 12, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 18, 2013 in CA
Enrollment address
19350 Business Center Dr
Ste 112
Northridge, CA 91324-6454

Care Compare: Hospice

Medicare Care Compare
Listed as
Aasta HospiceCCN 751649 · All quality measures
Ownership
For-Profit
Certified
Mar 16, 2015
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2091984Kumar Lifecare Hospice Inc19350 Business Center Dr Ste 112, Northridge, CA 91324Certificate of waiverFeb 28, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Nandini Kumar Individual 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
W-2 Managing EmployeeAd;DPCS/Ceo Mar 19, 2013

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1367107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367107200000",
    "number": "1871937227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20061 SATICOY ST",
            "address_2": "SUITE 202",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913062688",
            "telephone_number": "818-701-0701",
            "fax_number": "818-701-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20061 SATICOY ST",
            "address_2": "SUITE 202",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913062688",
            "telephone_number": "818-701-0701",
            "fax_number": "818-701-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMAR LIFECARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-28",
        "last_updated": "2013-04-28",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "NARINDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-701-0701"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, CA

Sources for this page

Verify at the official NPI Registry.