Active NPI
Compassionate Home Health & Hospice Inc
- Community Based Hospice Care Agency
- Pleasanton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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).
-
- Home Health Agency
- Pleasanton, CA
- NPI 1902330103
0941628242
Care Compare: Hospice
Medicare Care Compare- Listed as
- Compassionate Home Health & Hospice, Inc.
- Certified
- Apr 24, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Compassionate Home Health Hospice Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Pleasanton, CA
- NPI 1902330103
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nafeesa Sonia Zeeshan | 5% Or Greater Direct Ownership Interest | Jun 19, 2019 | 100% |
| Corporate Officer | Jun 19, 2019 | 100% | |
| Corporate Director | Jun 19, 2019 | 100% | |
| W-2 Managing Employee | Jun 19, 2019 | 100% | |
| Operational/Managerial Control | Jun 19, 2019 | 100% | |
| Morteza Farr | Contracted Managing Employee | May 17, 2020 | |
| Theresa Naria | Contracted Managing Employee | 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.
-
- Orthopaedic Surgery Physician
- San Jose, CA
- NPI 1023066891
Contracted Managing Employee
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.