Active NPI
Cherish Care Hospice Inc
- Community Based Hospice Care Agency
- Rancho Cucamonga, CA
National Provider Identifier
1912537895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CHERISH CARE HOSPICE INC
- Practice address
- 8333 Foothill Blvd Ste 109
Rancho Cucamonga, CA 91730-3155 - Phone
- (909) 294-3422
- NPI assigned
- Jan 20, 2020
- Last updated
- May 14, 2023
- 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
- Beatriz Gabrielle
- Title
- Cfo
- Phone
- (909) 294-3422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
8333 Foothill Blvd Ste 109
Rancho Cucamonga, CA 91730-3155
Mailing address
8333 Foothill Blvd Ste 109
Rancho Cucamonga, CA 91730-3155
Phone (909) 294-3422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230322002699 | CA | Part A Provider - Hospice | 2062833296 | Practice locations: Rancho Cucamonga, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1912537895. Details of each certification follow.
Hospice certification: CCN D61518
- Legal name
- CHERISH CARE HOSPICE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 16, 2023
- Last certification
- Jan 20, 2023
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 20, 2019 in CA
- Enrollment address
- 8333 Foothill Blvd
Ste 109
Rancho Cucamonga, CA 91730-3155
Care Compare: Hospice
Medicare Care Compare- Listed as
- Cherish Care Hospice Inc.
- Certified
- Mar 16, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
400 N Mountain Ave
Ste 115C
Upland, CA 91786
440 N Mountain Ave
Ste 115C
Upland, CA 91786
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 |
|---|---|---|---|
| Beatriz Gabrielle | Corporate Officer | Feb 8, 2022 | 100% |
| Corporate Director | Feb 8, 2022 | 100% | |
| W-2 Managing Employee | Feb 8, 2022 | 100% | |
| Operational/Managerial Control | Feb 8, 2022 | 100% | |
| Racheal M White | 5% Or Greater Direct Ownership Interest | Aug 8, 2022 | 100% |
| Corporate Officer | Feb 8, 2022 | 100% | |
| Corporate Director | Feb 8, 2022 | 100% | |
| W-2 Managing Employee | Feb 8, 2022 | 100% | |
| Operational/Managerial Control | Feb 8, 2022 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684022400000",
"number": "1912537895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 FOOTHILL BLVD STE 109",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303155",
"telephone_number": "909-294-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 FOOTHILL BLVD STE 109",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303155",
"telephone_number": "909-294-3422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHERISH CARE HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-20",
"last_updated": "2023-05-14",
"certification_date": "2023-05-14",
"status": "A",
"authorized_official_last_name": "GABRIELLE",
"authorized_official_first_name": "BEATRIZ",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "909-294-3422"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.