Active NPI
Cinta Hospice Care Inc
- Community Based Hospice Care Agency
- Montclair, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CINTA HOSPICE CARE INC
- Practice address
- 5050 Palo Verde Street
Suite 101
Montclair, CA 91763 - Phone
- (909) 625-5518
- Fax
- (909) 625-5520
- NPI assigned
- Sep 24, 2013
- Last updated
- Jul 23, 2018
- 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
- Allan Estudillo, RN
- Title
- Administrator
- Phone
- (909) 625-5518
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | ||
| Community Based Hospice Care Agency | 251G00000X | CA | Primary |
Addresses
Primary practice location
5050 Palo Verde Street
Suite 101
Montclair, CA 91763
Mailing address
5050 Palo Verde Street
Montclair, CA 91763
Phone (909) 625-5518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160203000529 | CA | Part A Provider - Hospice | 2062716533 | Practice locations: Montclair, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1912333790. Details of each certification follow.
Hospice certification: CCN 921555
- Legal name
- CINTA HOSPICE CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 4, 2016
- Last certification
- Jul 12, 2019
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Sep 3, 2013 in CA
- Enrollment address
- 5050 Palo Verde St
Ste 101
Montclair, CA 91763-2333
Care Compare: Hospice
Medicare Care Compare- Listed as
- Cinta Hospice Care, Inc
- Ownership
- For-Profit
- Certified
- Sep 4, 2016
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2091094 | Cinta Hospice Care, Inc. | Certificate of waiver | Feb 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
5050 Palo Verde St
Montclair, CA 91763
Phone (909) 766-0096
5050 Palo Verde St
Ste 101
Montclair, CA 91763
Phone (909) 625-5518
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Patrick D Estudillo | 5% Or Greater Direct Ownership Interest | Oct 1, 2013 | 50% |
| Corporate Officer | Oct 1, 2013 | 100% | |
| Corporate Director | Oct 1, 2013 | 100% | |
| W-2 Managing Employee | Oct 1, 2013 | 100% | |
| Allan M Estudillo | 5% Or Greater Direct Ownership Interest | Oct 1, 2013 | 50% |
| Corporate Officer | Oct 1, 2013 | 100% | |
| W-2 Managing Employee | Oct 1, 2013 | 50% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Montclair, CA
- NPI 1336853688
Affiliated clinicians 2
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": "1379980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532304000000",
"number": "1912333790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 PALO VERDE STREET",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "91763",
"telephone_number": "909-625-5518",
"fax_number": "909-625-5520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 PALO VERDE STREET",
"address_2": "SUITE 101",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "91763",
"telephone_number": "909-625-5518",
"fax_number": "909-625-5520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CINTA HOSPICE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-24",
"last_updated": "2018-07-23",
"status": "A",
"authorized_official_last_name": "ESTUDILLO",
"authorized_official_first_name": "ALLAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "909-625-5518",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.