Organization Active NPI

A Plus Hospice LLC

Doing business as A1 Healthcare

  • Community Based Hospice Care Agency
  • Fair Oaks, CA
National Provider Identifier
1891349361
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
A PLUS HOSPICE LLC
Doing business as
A1 Healthcare
Practice address
5006 Sunrise Blvd Ste 202
Fair Oaks, CA 95628-4940
Phone
(916) 706-2513
Fax
(916) 706-2463
NPI assigned
Aug 1, 2019
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Chris Jara
Title
Administrator
Phone
(916) 903-3957

Specialties & licenses 1

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

Addresses

Primary practice location

5006 Sunrise Blvd Ste 202
Fair Oaks, CA 95628-4940

Mailing address

5006 Sunrise Blvd Ste 202
Fair Oaks, CA 95628-4940
Phone (916) 706-2513

Other names 1

  • A1 Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200617000031 CA Part A Provider - Hospice 7618399825 Practice locations: Fair Oaks, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891349361. Details of each certification follow.

Hospice certification: CCN A11554

Legal name
A PLUS HOSPICE LLC
Doing business as
A1 HEALTHCARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 21, 2020
Last certification
Aug 21, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jul 10, 2019 in CA
Enrollment address
5006 Sunrise Blvd
Ste 202
Fair Oaks, CA 95628-4940

Care Compare: Hospice

Medicare Care Compare
Listed as
A1 HealthcareCCN A11554 · All quality measures
Ownership
For-Profit
Certified
Aug 21, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

5006 Sunrise Blvd
Ste 202
Fair Oaks, CA 95628
Phone (916) 706-2513

3353 Bradshaw Rd
Ste 108
Sacramento, CA 95827
Phone (916) 706-2153

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Jcthy Obtinalla Individual 5% Or Greater Direct Ownership InterestManagerial Jul 10, 2019 100%
Corporate OfficerChief Executive Officer/Cfo/Boar Jul 10, 2019
W-2 Managing EmployeeAd;Chief Executive Officer/Cfo/Boar Jul 10, 2019
Edmund Yao Individual W-2 Managing EmployeeMD; Apr 1, 2023

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1891349361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 SUNRISE BLVD STE 202",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284940",
            "telephone_number": "916-706-2513",
            "fax_number": "916-706-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 SUNRISE BLVD STE 202",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284940",
            "telephone_number": "916-706-2513",
            "fax_number": "916-706-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PLUS HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "JARA",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-903-3957"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A1 Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fair Oaks, CA

Sources for this page

Verify at the official NPI Registry.