Eos Hospice and Palliative Care Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EOS HOSPICE AND PALLIATIVE CARE INC.

Practice address

646 S Barranca Ave
Covina, CA 91723-3601

Phone

(909) 766-8281

Fax

(909) 593-1088

NPI assigned

Sep 5, 2013

Organization subpart

No

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

Authorized official

Name

Zhijun Mo

Title

RN/Ceo

Phone

(909) 766-8281

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51575

Legal name

EOS HOSPICE AND PALLIATIVE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 9, 2022

Last certification

Apr 26, 2022

Organization structure

CorporationProprietary

Incorporated

May 2, 2013 in CA

Enrollment address

646 S Barranca Ave
Covina, CA 91723-3601

Listed as

Eos Hospice & Palliative Care IncCCN B51575

Certified

May 9, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Affiliated clinicians 1

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

• Kamalakar S Rambhatla, MD

  • Pulmonary Disease Physician
  • El Monte, CA
  • NPI 1932130663

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1912332297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 S BARRANCA AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233601",
            "telephone_number": "909-766-8281",
            "fax_number": "909-593-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 S BARRANCA AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233601",
            "telephone_number": "909-766-8281",
            "fax_number": "909-593-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EOS HOSPICE AND PALLIATIVE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "MO",
        "authorized_official_first_name": "ZHIJUN",
        "authorized_official_title_or_position": "RN/CEO",
        "authorized_official_telephone_number": "909-766-8281"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Benny J Enriquez
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• Cheryl Epler, LCSW
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• Blake W. Erban, OTR/L

• Community Based Hospice Care Agency in Covina, CA
• Providers in Covina, 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 Oct 26, 2023; 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.