Med Care Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MED CARE HOSPICE, INC.

Practice address

2904 Theresa Dr # 104a
Newbury Park, CA 91320-3137

Phone

(310) 721-1918

NPI assigned

Sep 23, 2019

Organization subpart

No

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

Authorized official

Name

Roman Inks

Title

Owner

Phone

(310) 721-1918

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B21612

Legal name

MED CARE HOSPICE, INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 2, 2021

Last certification

Jul 2, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 26, 2019 in CA

Enrollment address

2904 Theresa Dr
Ste 104a
Newbury Park, CA 91320-3137

Listed as

Med Care Hospice IncCCN B21612

Ownership

For-Profit

Certified

Jul 2, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 3

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

• Michael S Basch, M.D.

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1790889350

  Hospice

  Care Compare affiliation
• Chirag Dinesh Bhavsar, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Laguna Hills, CA
  • NPI 1386703007
  Care Compare affiliation
• Rashita Aggarwal, M.D.

  • Internal Medicine Physician
  • Scranton, PA
  • NPI 1043522790

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1902457724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 THERESA DR # 104A",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 THERESA DR # 104A",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203137",
            "telephone_number": "310-721-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "INKS",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-721-1918"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin S. McEwan, D.D.S., M.S.
• Jaymin McJimpson, MS, RD, CSSD
• Kelly McNelis Schroder, LEP
• Deborah J McNulty, MA, OTR/L
• Tracey Terry McTigue, AAMFT
• Stacie Meeks Strossman, RDN
• Ramin Mehdian, M.D.
• Mariah Kayleen Melgoza
• Lillian Christine Melvin, NONE
• Helena Elaine Mercy, PH.D.

• Community Based Hospice Care Agency in Newbury Park, CA
• Providers in Newbury Park, 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 23, 2019; 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.