Organization Active NPI

Anita Hospice. Inc.

  • Community Based Hospice Care Agency
  • Orange, CA
National Provider Identifier
1942734595
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ANITA HOSPICE. INC.
Practice address
201 S Anita Dr.
Suite 105
Orange, CA 92868-3312
Phone
(714) 456-9155
Fax
(714) 464-4146
NPI assigned
Apr 19, 2017
Reactivated
Sep 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Marsman Alberto
Title
Ceo
Phone
(714) 456-9155

Specialties & licenses 1

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

Addresses

Primary practice location

201 S Anita Dr.
Suite 105
Orange, CA 92868-3312

Mailing address

201 S Anita Dr.
Suite 105
Orange, CA 92868-3312
Phone (714) 456-9155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170804000365 CA Part A Provider - Hospice 1658642939 Practice locations: Orange, CA

Hospice certification: CCN A01650

Legal name
ANITA HOSPICE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 1, 2019
Last certification
Aug 1, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 19, 2017 in CA
Enrollment address
201 S Anita Dr
Ste 105
Orange, CA 92868-3312

Care Compare: Hospice

Medicare Care Compare
Listed as
Anita Hospice, IncCCN A01650
Ownership
For-Profit
Certified
Aug 1, 2019
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
05D2146518Anita Hospice Inc201 S Anita Dr, Ste 105, Orange, CA 92868Certificate of waiverMar 29, 2028

National Provider Directory

National Provider Directory

Locations

201 S Anita Dr
Ste 105
Orange, CA 92868
Phone (714) 456-9155

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Marsman Alberto Individual 5% Or Greater Direct Ownership InterestPresident Jan 3, 2022 34%
W-2 Managing EmployeeOffice Manager Jan 3, 2022
Operational/Managerial ControlOffice Management Jan 3, 2022 34%
Raafat M Hana Individual Contracted Managing EmployeeMD; Jul 1, 2025
W-2 Managing EmployeeMD; Jul 1, 2025
Christian Alberto Individual 5% Or Greater Direct Ownership InterestCfo Jan 3, 2022 33%
W-2 Managing EmployeeCfo Jan 3, 2022 33%
Kristoffer T Alberto Individual 5% Or Greater Direct Ownership InterestAdministrator and DPCS Jan 3, 2022 33%
Corporate DirectorDPCS and Administrator Feb 27, 2020
W-2 Managing EmployeeDPCS and Administrator Feb 27, 2020

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 1

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": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1942734595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S ANITA DR.",
            "address_2": "SUITE 105",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683312",
            "telephone_number": "714-456-9155",
            "fax_number": "714-464-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ANITA DR.",
            "address_2": "SUITE 105",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683312",
            "telephone_number": "714-456-9155",
            "fax_number": "714-464-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITA HOSPICE. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "deactivation_date": "2022-06-24",
        "reactivation_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "ALBERTO",
        "authorized_official_first_name": "MARSMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-456-9155"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.