Hospice of Peace Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOSPICE OF PEACE INC.

Practice address

2461 E Orangethorpe Ave Ste 209
Fullerton, CA 92831-5302

Phone

(949) 355-2520

NPI assigned

Apr 30, 2019

Last updated

Apr 7, 2024By 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

Chet KhayNPI 1861812810

Title

President

Phone

(562) 714-3383

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 1881258390. Details of each certification follow.

• CCN B41684 Hospice · Active · Details

Hospice certification: CCN B41684

Legal name

HOSPICE OF PEACE INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 16, 2021

Last certification

Feb 16, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 18, 2019 in CA

Enrollment address

2461 E Orangethorpe Ave
Ste 209
Fullerton, CA 92831-5302

Listed as

Hospice of Peace, IncCCN B41684 · All quality measures

Certified

Feb 16, 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.

Owners & managing parties with NPI records 3

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

• Mario Curti, M.D.

  • Hematology & Oncology Physician
  • Los Alamitos, CA
  • NPI 1033287537

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer

  CMS ownership
• Vu Q. Phan, MD

  • Hematology & Oncology Physician
  • Los Alamitos, CA
  • NPI 1831247667

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer

  CMS ownership
• Ky Tran, M.D.

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1053313270

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer

  CMS ownership

Practitioners 2

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.

• Chet Khay, NP

  • Family Nurse Practitioner
  • San Juan Capistrano, CA
  • NPI 1861812810
  NPD Authorized official
• Ky Tran, M.D.

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1053313270
  NPD (past)

Affiliated clinicians 2

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

• Eufrocino Cabotaje Martinez, M. D.

  • Surgery Physician
  • Norwalk, CA
  • NPI 1891877056

  Hospice

  Care Compare affiliation
• Ky Tran, M.D.

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1053313270

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712448000000",
    "number": "1881258390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 E ORANGETHORPE AVE STE 209",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928315302",
            "telephone_number": "949-355-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 E ORANGETHORPE AVE STE 209",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928315302",
            "telephone_number": "949-355-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF PEACE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "KHAY",
        "authorized_official_first_name": "CHET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-714-3383"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Fullerton, 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 Apr 7, 2024; 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.