NPIMap

Organization Active NPI

Torrance Memorial Medical Center

  • Community Based Hospice Care Agency
  • Torrance, CA
National Provider Identifier
1952480170
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
980000483 Issued in CA
Legal business name
TORRANCE MEMORIAL MEDICAL CENTER
Practice address
23326 Hawthorne Blvd
Suite 100 B
Torrance, CA 90505-3725
Phone
(310) 784-3751
Fax
(310) 784-3717
NPI assigned
Nov 6, 2006
Last updated
Aug 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Mrs. Theresa M. Ferry, RN, BSN
Title
Administrator
Phone
(310) 784-3739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 980000483 CA Primary

Addresses

Primary practice location

23326 Hawthorne Blvd
Suite 100 B
Torrance, CA 90505-3725

Mailing address

23326 Hawthorne Blvd
Suite 100
Torrance, CA 90505-3725
Phone (310) 784-3751

Other identifiers 2

IdentifierTypeStateIssuer
HPC01615FMedicaidCA
ZZZ05141ZOtherCABLUE SHIELD

Other names 1

  • Torrance Memorial Home Health & Hospice Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100601000300 CA Part A Provider - Hospice 9638087703 Practice locations: Torrance, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952480170. Details of each certification follow.

Hospice certification: CCN 051615

Legal name
TORRANCE MEMORIAL MEDICAL CENTER
Doing business as
TORRANCE MEMORIAL HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 10, 1993
Last certification
Jul 23, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 18, 1920 in CA
Enrollment address
3121 Skypark Dr
Ste 3126
Torrance, CA 90505-5005

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Torrance Memorial HospiceCCN 051615 · All quality measures
Ownership
For-Profit
Certified
Jun 10, 1993
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Torrance Memorial Medic10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

23326 Hawthorne Blvd
Ste 100
Torrance, CA 90505

23326 Hawthorne Blvd
Ste 100B
Torrance, CA 90505
Phone (310) 784-3751

3121 Skypark Dr
Ste 3126
Torrance, CA 90505
Phone (310) 784-3751

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Gregory W Geiger Individual Corporate DirectorBoard Member May 1, 2014
Donna Duperron Individual Corporate DirectorBoard Member Jan 1, 2021
Sherry Kramer Individual Corporate OfficerBoard Member May 1, 2013
Corporate Director May 1, 2013
William Larson Individual Corporate OfficerChief Financial Officer Jun 10, 2014
Torrance Health Association Inc Organization, Torrance, CA Non-profit Other Jul 25, 1984
Joe Hohm Individual Corporate DirectorBoard Member Jan 1, 2023
Rashaan Ali-Jones Individual Corporate DirectorBoard Member Jan 1, 2023
Tracy Underwood Individual Corporate DirectorBoard Member Jan 1, 2021
Paola Marie Rodriguez Individual W-2 Managing EmployeeClinical Director of Hospice Sep 16, 2021
Kathleen Crane Individual Corporate DirectorBoard Member Jan 1, 2024
Gloria Martinez Individual W-2 Managing EmployeeClinical Manager Sep 16, 2021
Deborah Griffin Individual W-2 Managing EmployeeAdministrator Dec 13, 2021
Victoria Y Shin Individual Corporate DirectorBoard Member Jan 1, 2024
Craig Leach Individual Corporate OfficerBoard Member Nov 1, 2023
Eric N Milefchik Individual Corporate DirectorBoard Member Jan 1, 2020
Keith M Hobbs Individual Corporate OfficerPresident/Ceo Nov 1, 2023
Ujjwala S Dheeriya Individual Contracted Managing EmployeeMedical Director Jan 1, 2023
Cedars-Sinai Health System Organization, Los Angeles, CA Non-profit Other Feb 1, 2018
Calyn Dehonor Individual W-2 Managing Employee Sep 29, 2024
Susan P Welch Individual Corporate DirectorBoard Member Jan 1, 2020

Owners & managing parties with NPI records 12

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

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.

Affiliated clinicians 4

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1952480170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23326 HAWTHORNE BLVD",
            "address_2": "SUITE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053725",
            "telephone_number": "310-784-3751",
            "fax_number": "310-784-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23326 HAWTHORNE BLVD",
            "address_2": "SUITE 100 B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053725",
            "telephone_number": "310-784-3751",
            "fax_number": "310-784-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORRANCE MEMORIAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "FERRY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-784-3739",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "980000483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01615F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ05141Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Torrance Memorial Home Health & Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.