Organization Active NPI

Compassionate Home Health & Hospice Inc

  • Community Based Hospice Care Agency
  • Pleasanton, CA
National Provider Identifier
1922532126
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMPASSIONATE HOME HEALTH & HOSPICE INC
Practice address
5820 Stoneridge Mall Rd Ste 310B
Pleasanton, CA 94588-3274
Phone
(510) 376-5292
NPI assigned
Apr 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Mr. Ulysses Madlangbayan
Title
Coo
Phone
(510) 340-6939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

5820 Stoneridge Mall Rd Ste 310B
Pleasanton, CA 94588-3274

Mailing address

5820 Stoneridge Mall Rd Ste 310B
Pleasanton, CA 94588-3274
Phone (510) 376-5292

Other practice location 1

228 McEwen Road
Waterford, CA 95386-9645
Phone (510) 376-5292

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210223002350 CA Part A Provider - Hospice 0941628242 Practice locations: Walnut Creek, CA

Hospice certification: CCN B31746

Legal name
COMPASSIONATE HOME HEALTH & HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 24, 2022
Last certification
Apr 24, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 1, 2017 in CA
Enrollment address
1501 N Broadway
Ste 350a
Walnut Creek, CA 94596-4296

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Compassionate Home Health & Hospice, Inc.CCN B31746
Certified
Apr 24, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Compassionate Home Health 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.

Locations

5820 Stoneridge Mall Rd
Ste 310B
Pleasanton, CA 94588
Phone (510) 376-5292

5820 Stoneridge Mall Rd
Ste 310A
Pleasanton, CA 94588
Phone (510) 376-5292

1501 N Broadway
Ste 350A
Walnut Creek, CA 94596
Phone (925) 425-7104

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nafeesa Sonia Zeeshan Individual 5% Or Greater Direct Ownership InterestOwner Jun 19, 2019 100%
Corporate OfficerPresident Jun 19, 2019 100%
Corporate DirectorPresident Jun 19, 2019 100%
W-2 Managing EmployeePresident Jun 19, 2019 100%
Operational/Managerial ControlPresident Jun 19, 2019 100%
Morteza Farr Individual Contracted Managing EmployeeMD; May 17, 2020
Theresa Naria Individual Contracted Managing EmployeeAd; Oct 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

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": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1922532126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 STONERIDGE MALL RD STE 310B",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883274",
            "telephone_number": "510-376-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 STONERIDGE MALL RD STE 310B",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883274",
            "telephone_number": "510-376-5292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 McEwen Road",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "CA",
            "postal_code": "953869645",
            "country_code": "US",
            "telephone_number": "510-376-5292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPASSIONATE HOME HEALTH & HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "MADLANGBAYAN",
        "authorized_official_first_name": "ULYSSES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "510-340-6939",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.