Organization Active NPI

Sacred Hands Hospice Home Care, LLC

  • Community Based Hospice Care Agency
  • Antioch, CA
National Provider Identifier
1922630425
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SACRED HANDS HOSPICE HOME CARE, LLC
Practice address
3900 Delta Fair Blvd Ste 200E
Antioch, CA 94509-4010
Phone
(209) 762-2910
NPI assigned
Feb 12, 2020
Last updated
Feb 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Ms. Rajwant Kaur PanesarNPI 1265093116
Title
Owner/Administrator
Phone
(209) 762-2910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3900 Delta Fair Blvd Ste 200E
Antioch, CA 94509-4010

Mailing address

1009 Royal Tern CT
Brentwood, CA 94513-1783
Phone (209) 762-2910

Other identifiers 1

IdentifierTypeStateIssuer
209762910MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200227000013 CA Part A Provider - Hospice 2961839287 Practice locations: Antioch, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922630425. Details of each certification follow.

Hospice certification: CCN B31609

Legal name
SACRED HANDS HOSPICE HOME CARE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 12, 2022
Last certification
Jan 12, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Feb 4, 2020 in CA
Enrollment address
3700 Delta Fair Blvd
Ste 200E
Antioch, CA 94509-4072

Care Compare: Hospice

Medicare Care Compare
Listed as
Sacred Hands Hospice Home Care, LLCCCN B31609 · All quality measures
Certified
Jan 12, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3700 Delta Fair Blvd
Ste 200E
Antioch, CA 94509
Phone (209) 762-2910

3900 Delta Fair Blvd
Ste 200E
Antioch, CA 94509
Phone (209) 762-2910

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
Walter Harris Individual Operational/Managerial Control Mar 15, 2020
Rajwant Panesar Individual 5% Or Greater Direct Ownership Interest Mar 1, 2020 100%
5% Or Greater Mortgage Interest Mar 1, 2020 100%
5% Or Greater Security Interest Mar 1, 2020 100%

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1922630425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 ROYAL TERN CT",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131783",
            "telephone_number": "209-762-2910",
            "fax_number": "850-905-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 DELTA FAIR BLVD STE 200E",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094010",
            "telephone_number": "209-762-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HANDS HOSPICE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "PANESAR",
        "authorized_official_first_name": "RAJWANT",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "209-762-2910",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209762910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

Verify at the official NPI Registry.