NPIMap

Organization Active NPI

Care Givers Hospice Inc

  • Community Based Hospice Care Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1902289267
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CARE GIVERS HOSPICE INC
Practice address
8237 Rochester Ave Ste 115
Rancho Cucamonga, CA 91730-0749
Phone
(909) 989-9988
Fax
(909) 697-2426
NPI assigned
Jul 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Mr. Patrick Thona
Title
Ceo
Phone
(909) 989-9988

Specialties & licenses 1

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

Addresses

Primary practice location

8237 Rochester Ave Ste 115
Rancho Cucamonga, CA 91730-0749

Mailing address

10970 Arrow Rte
Suite 207
Rancho Cucamonga, CA 91730-4838
Phone (909) 989-9988

Other names 1

  • GOOD HEART HOSPICE & PALLIATIVE CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160311001773 CA Part A Provider - Hospice 1355647611 Practice locations: Rancho Cucamonga, CA

Hospice certification: CCN 921599

Legal name
CARE GIVERS HOSPICE INC
Doing business as
GOOD HEART HOSPICE & PALLIATIVE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 7, 2017
Last certification
Jan 24, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
8237 Rochester Ave
Ste 115
Rancho Cucamonga, CA 91730-0749

Care Compare: Hospice

Medicare Care Compare
Listed as
Good Heart Hospice & Palliative Care, Inc.CCN 921599
Ownership
For-Profit
Certified
Mar 7, 2017
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

10970 Arrow Rte
Ste 207
Rancho Cucamonga, CA 91730
Phone (909) 989-9988

Ownership & related parties

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.

NameRoleSinceShare
Ei Health Care Investments LLC Organization, Paducah, KY LLC 5% Or Greater Indirect Ownership Interest Dec 20, 2018 20.8%
Maya Mellina Thona Individual 5% Or Greater Indirect Ownership Interest Dec 20, 2018 32.55%
Corporate OfficerSecretary Dec 20, 2018
Corporate Director Mar 11, 2019 100%
W-2 Managing EmployeeSecretary Mar 11, 2019 100%
Operational/Managerial Control50 Mar 11, 2019
Sameer Ohri Individual Contracted Managing EmployeeMD; Jan 12, 2018 100%
Patrick Thona Individual 5% Or Greater Indirect Ownership Interest Dec 20, 2018 32.55%
Corporate Officer Aug 12, 2017
Corporate Director Mar 11, 2019 100%
Good Heart Hospice LLC Organization, Ontario, CA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jan 28, 2019 100%
Mane Harutyunyan Individual W-2 Managing EmployeeAd; Feb 2, 2026

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1902289267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10970 ARROW RTE",
            "address_2": "SUITE 207",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304838",
            "telephone_number": "909-989-9988",
            "fax_number": "909-494-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8237 ROCHESTER AVE STE 115",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300749",
            "telephone_number": "909-989-9988",
            "fax_number": "909-697-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE GIVERS HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "THONA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-989-9988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOOD HEART HOSPICE & PALLIATIVE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.