Active NPI
Hope Hospice Inc.
- Community Based Hospice Care Agency
- Dublin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 070000569
- Legal business name
- HOPE HOSPICE INC.
- Practice address
- 6377 Clark Ave Ste 100
Dublin, CA 94568-3024 - Phone
- (925) 829-8770
- Fax
- (925) 829-0868
- NPI assigned
- Sep 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Hansen
- Title
- Chief Executive Officer
- Phone
- (925) 829-8770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 070000569 | CA | Primary |
Addresses
Primary practice location
6377 Clark Ave Ste 100
Dublin, CA 94568-3024
Mailing address
6377 Clark Ave Ste 100
Dublin, CA 94568-3024
Phone (925) 829-8770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HPC01601F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040217000662 | CA | Part A Provider - Hospice | 1052206240 | Practice locations: Pleasanton, CA |
Hospice certification: CCN 051601
- Legal name
- HOPE HOSPICE, INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 10, 1992
- Last certification
- Aug 2, 2019
- Ownership / control type
- Non-Profit - Private
- Organization structure
- Corporation
- Incorporated
- Feb 1, 1979 in CA
- Enrollment address
- 6801 Koll Center Pkwy
Ste 140
Pleasanton, CA 94566-7076
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hope Hospice
- Ownership
- Non-Profit
- Certified
- Dec 10, 1992
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Hope Hospice Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Dublin, CA
- NPI 1992427637
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
6500 Dublin Blvd
Ste 100
Dublin, CA 94568
Phone (925) 829-8770
6801 Koll Center Pkwy
Ste 140
Pleasanton, CA 94566
Phone (925) 829-8770
Ownership & related parties
All disclosed owners & managing parties 27
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Shelby D Decosta-Galdeira | Corporate Director | Jan 1, 2024 | |
| Stacy a Blanchard | Corporate Director | Jan 1, 2024 | |
| Armika J Berkley | Corporate Director | Jan 30, 2024 | |
| Jennifer Hansen | W-2 Managing Employee | Sep 17, 2018 | |
| Karen E. May | Corporate Director | Jan 1, 2024 | |
| Satwant Kaur Johal | Corporate Officer | Jul 1, 2020 | |
| W-2 Managing Employee | Jul 1, 2020 | ||
| Gerald R Peters | Corporate Director | Jan 1, 2024 | |
| Robertina K Szolarova | Corporate Officer | Jan 1, 2024 | |
| W-2 Managing Employee | Jan 1, 2024 | ||
| Swaminathan Jayaraman | Corporate Director | Aug 3, 2021 | |
| Fred Sanciangco | Corporate Director | Feb 27, 2019 | |
| By the Bay Health | Operational/Managerial Control | Jan 1, 2024 | 100% |
| Gregory a Leclaire | Corporate Director | Jan 1, 2024 | |
| Kenneth G Meislin | Corporate Director | Jan 1, 2024 | |
| Michelle S Mourad | Corporate Director | Jan 1, 2024 | |
| Tracy a Hogan | Corporate Director | Jan 1, 2024 | |
| Catherine Jamentz | Corporate Director | Jan 1, 2024 | |
| Kathy Nouri | W-2 Managing Employee | Nov 15, 2012 | |
| Wendy C Chow | Corporate Director | Jan 1, 2024 | |
| Skelly Wingard | Corporate Officer | Jan 1, 2014 | |
| Corporate Director | Jan 1, 2024 | ||
| Scott T Smith | Corporate Director | Jan 1, 2024 | |
| Jeff Gerard | Corporate Director | Jan 1, 2024 | |
| Steven Z Pantilat | Corporate Director | Jan 1, 2024 | |
| Daniel E Cohn | Corporate Director | Jan 1, 2024 | |
| Jatinder P Marwaha | Contracted Managing Employee | Feb 1, 2015 | |
| Mukund Acharya | Corporate Director | Jan 1, 2024 | |
| Robert J Simon | Corporate Director | Jan 1, 2024 | |
| Michael a Kadel | Corporate Director | Jan 1, 2024 |
Owners & managing parties with NPI records 5
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Community Based Hospice Care Agency
- San Francisco, CA
- NPI 1215987532
Operational/Managerial Control
-
- Community Based Hospice Care Agency
- Larkspur, CA
- NPI 1255381547
Operational/Managerial Control
-
- Sleep Medicine (Internal Medicine) Physician
- San Ramon, CA
- NPI 1417910407
Contracted Managing Employee
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1073712261
Corporate Director
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- San Francisco, CA
- NPI 1457318073
Corporate Director
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- San Mateo, CA
- NPI 1396754115
By the Bay Health
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Pleasanton, CA
- NPI 1659403616
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1073712261
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Sleep Medicine (Internal Medicine) Physician
- San Ramon, CA
- NPI 1417910407
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614816000000",
"number": "1902907041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6377 CLARK AVE STE 100",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945683024",
"telephone_number": "925-829-8770",
"fax_number": "925-829-0868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6377 CLARK AVE STE 100",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945683024",
"telephone_number": "925-829-8770",
"fax_number": "925-829-0868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE HOSPICE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A",
"authorized_official_last_name": "HANSEN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "925-829-8770"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "CA",
"license": "070000569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HPC01601F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.