Adya Hospice & Palliative Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ADYA HOSPICE & PALLIATIVE CARE, LLC

Practice address

700 Main St Ste 210
Suisun City, CA 94585-2494

Phone

(707) 200-2989

Fax

(707) 306-7720

NPI assigned

Feb 10, 2020

Last updated

Sep 16, 2026By 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

Mr. Vincent Bryan Vicencio Reyes, R.N.

Title

Administrator

Phone

(650) 922-3707

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 1891327573. Details of each certification follow.

• CCN A11778 Hospice · Active · Details

Hospice certification: CCN A11778

Legal name

ADYA HOSPICE & PALLIATIVE CARE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 5, 2021

Last certification

Mar 5, 2021

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Enrollment address

700 Main St
Ste 210
Suisun City, CA 94585-2494

Listed as

Adya Hospice & Palliative Care, LLCCCN A11778 · All quality measures

Ownership

For-Profit

Certified

Mar 5, 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 6

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 1

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

• Hermenegildo G Angeles Jr., MD APC

  • Geriatric Medicine (Family Medicine) Physician
  • Daly City, CA
  • NPI 1396712303

  W-2 Managing Employee

  CMS ownership

Practitioners 1

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.

• Cristina Labao Mallari, RN

  • General Practice Registered Nurse
  • Fairfield, CA
  • NPI 1861086720
  NPD

Affiliated clinicians 2

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

• Hermenegildo G Angeles Jr., MD APC

  • Geriatric Medicine (Family Medicine) Physician
  • Daly City, CA
  • NPI 1396712303

  Hospice

  Care Compare affiliation
• Dominic Joseph Picetti, MD

  • Internal Medicine Physician
  • Santa Rosa, CA
  • NPI 1013413517

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1891327573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MAIN ST STE 210",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945852494",
            "telephone_number": "707-200-2989",
            "fax_number": "707-306-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MAIN ST STE 210",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945852494",
            "telephone_number": "707-200-2989",
            "fax_number": "707-306-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADYA HOSPICE & PALLIATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "VINCENT BRYAN",
        "authorized_official_middle_name": "VICENCIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-922-3707",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Suisun City, CA
• Providers in Suisun City, 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 Sep 16, 2026; 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.