Organization Active NPI

Compassionate Healthcare Solutions, Inc

  • Community Based Hospice Care Agency
  • Thousand Oaks, CA
National Provider Identifier
1881953271
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMPASSIONATE HEALTHCARE SOLUTIONS, INC
Practice address
905 Greenwich Dr
Thousand Oaks, CA 91360-6022
Phone
(805) 379-2540
Fax
(805) 379-2540
NPI assigned
May 7, 2012
Last updated
Jun 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Mr. Aries J Limbaga, RN,NP
Title
Director, Patient Services
Phone
(805) 379-2540

Specialties & licenses 1

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

Addresses

Primary practice location

905 Greenwich Dr
Thousand Oaks, CA 91360-6022

Mailing address

905 Greenwich Dr
Thousand Oaks, CA 91360-6022
Phone (805) 379-2540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130717000472 CA Part A Provider - Hospice 6901069129 Practice locations: Buena Park, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881953271. Details of each certification follow.

Hospice certification: CCN 921695

Legal name
COMPASSIONATE HEALTHCARE SOLUTIONS, INC.
Doing business as
INTEGRITY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 19, 2017
Last certification
Oct 29, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 11, 1911 in CA
Enrollment address
6131 Orangethorpe Ave
Ste 279
Buena Park, CA 90620-1315

Care Compare: Hospice

Medicare Care Compare
Listed as
Integrity HospiceCCN 921695 · All quality measures
Ownership
For-Profit
Certified
Jul 19, 2017
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6131 Orangethorpe Ave
Ste 279
Buena Park, CA 90620
Phone (714) 534-4211

12900A Garden Grove Blvd
Ste 146
Garden Grove, CA 92843
Phone (714) 534-4211

Ownership & related parties

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.

NameRoleSinceShare
Min Lee Individual 5% Or Greater Direct Ownership InterestCoo Jul 8, 2023 33.33%
Corporate OfficerCoo Jul 8, 2023 33.33%
Corporate DirectorCoo Jul 8, 2023 33.33%
Frency Cho Individual 5% Or Greater Direct Ownership InterestCeo Jul 8, 2023 33.34%
Corporate OfficerCeo Jul 8, 2023 33.34%
Corporate DirectorCeo Jul 8, 2023 33.34%
W-2 Managing EmployeeCeo Jul 8, 2023 33.34%
Bong Kang Individual 5% Or Greater Direct Ownership InterestCfo/Admin Jul 8, 2023 33.33%
Corporate OfficerCfo/Admin Jul 8, 2023 33.33%
Corporate DirectorCfo/Admin Jul 8, 2023 33.33%
W-2 Managing EmployeeCfo/Admin Jul 8, 2023 33.33%
Operational/Managerial ControlCfo/Admin Jul 8, 2023 33.33%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1881953271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 GREENWICH DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606022",
            "telephone_number": "805-379-2540",
            "fax_number": "805-379-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 GREENWICH DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606022",
            "telephone_number": "805-379-2540",
            "fax_number": "805-379-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE HEALTHCARE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "LIMBAGA",
        "authorized_official_first_name": "ARIES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR, PATIENT SERVICES",
        "authorized_official_telephone_number": "805-379-2540",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN,NP"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.