Organization Active NPI

Hope Hospice Inc.

  • Community Based Hospice Care Agency
  • Dublin, CA
National Provider Identifier
1902907041
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
070000569 Issued in CA
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

Updated by the provider on Mar 4, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HPC01601FMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 HospiceCCN 051601
Ownership
Non-Profit
Certified
Dec 10, 1992
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Hope Hospice Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Shelby D Decosta-Galdeira Individual Corporate DirectorBoard Member Jan 1, 2024
Stacy a Blanchard Individual Corporate DirectorBoard Member Jan 1, 2024
Armika J Berkley Individual Corporate DirectorBoard Member Jan 30, 2024
Jennifer Hansen Individual W-2 Managing EmployeeAd; Sep 17, 2018
Karen E. May Individual Corporate DirectorBoard Member Jan 1, 2024
Satwant Kaur Johal Individual Corporate OfficerCfo Jul 1, 2020
W-2 Managing EmployeeAd; Jul 1, 2020
Gerald R Peters Individual Corporate DirectorBoard Member Jan 1, 2024
Robertina K Szolarova Individual Corporate OfficerCao Jan 1, 2024
W-2 Managing EmployeeAd; Jan 1, 2024
Swaminathan Jayaraman Individual Corporate DirectorBoard Member Aug 3, 2021
Fred Sanciangco Individual Corporate DirectorBoard Member Feb 27, 2019
By the Bay Health Organization, Larkspur, CA Non-profit Operational/Managerial Control Jan 1, 2024 100%
Gregory a Leclaire Individual Corporate DirectorBoard Member Jan 1, 2024
Kenneth G Meislin Individual Corporate DirectorBoard Member Jan 1, 2024
Michelle S Mourad Individual Corporate DirectorBoard Member Jan 1, 2024
Tracy a Hogan Individual Corporate DirectorBoard Member Jan 1, 2024
Catherine Jamentz Individual Corporate DirectorBoard Member Jan 1, 2024
Kathy Nouri Individual W-2 Managing EmployeeDirector of Quality Nov 15, 2012
Wendy C Chow Individual Corporate DirectorBoard Member Jan 1, 2024
Skelly Wingard Individual Corporate OfficerCeo Jan 1, 2014
Corporate DirectorBoard Member Jan 1, 2024
Scott T Smith Individual Corporate DirectorBoard Member Jan 1, 2024
Jeff Gerard Individual Corporate DirectorBoard Member Jan 1, 2024
Steven Z Pantilat Individual Corporate DirectorBoard Member Jan 1, 2024
Daniel E Cohn Individual Corporate DirectorBoard Member Jan 1, 2024
Jatinder P Marwaha Individual Contracted Managing EmployeeMD; Feb 1, 2015
Mukund Acharya Individual Corporate DirectorBoard Member Jan 1, 2024
Robert J Simon Individual Corporate DirectorBoard Member Jan 1, 2024
Michael a Kadel Individual Corporate DirectorBoard Member 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.

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "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

Verify at the official NPI Registry.