Organization Active NPI

Cinta Hospice Care Inc

  • Community Based Hospice Care Agency
  • Montclair, CA
National Provider Identifier
1912333790
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 921555 · All quality measures
Ownership
For-Profit
Certified
Sep 4, 2016
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2091094Cinta Hospice Care, Inc.5050 Palo Verde St Ste 101, Montclair, CA 91763Certificate of waiverFeb 4, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Patrick D Estudillo Individual 5% Or Greater Direct Ownership InterestOwner Oct 1, 2013 50%
Corporate OfficerBoard Member Oct 1, 2013 100%
Corporate DirectorBoard Member Oct 1, 2013 100%
W-2 Managing Employee Oct 1, 2013 100%
Allan M Estudillo Individual 5% Or Greater Direct Ownership Interest Oct 1, 2013 50%
Corporate OfficerPresident / Ceo Oct 1, 2013 100%
W-2 Managing EmployeeAdministrator 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.

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

Verify at the official NPI Registry.