Organization Active NPI

United Alliance Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Lancaster, CA
National Provider Identifier
1952646820
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
UNITED ALLIANCE HOSPICE CARE, INC.
Practice address
566 W Lancaster Blvd Ste 19
Lancaster, CA 93534-2563
Phone
(661) 579-6048
Fax
(661) 200-7780
NPI assigned
Dec 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Alvamarie Tabalon
Title
Ceo
Phone
(818) 268-8500

Specialties & licenses 1

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

Addresses

Primary practice location

566 W Lancaster Blvd Ste 19
Lancaster, CA 93534-2563

Mailing address

566 W Lancaster Blvd Ste 19
Lancaster, CA 93534-2563
Phone (661) 579-6048

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190913000159 CA Part A Provider - Hospice 2163646324 Practice locations: Lancaster, CA

Hospice certification: CCN B31647

Legal name
UNITED ALLIANCE HOSPICE CARE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 29, 2021
Last certification
Jul 29, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 28, 2012 in CA
Enrollment address
566 W Lancaster Blvd
Ste 19
Lancaster, CA 93534-2563

Care Compare: Hospice

Medicare Care Compare
Listed as
United Alliance Hospice Care, IncCCN B31647
Certified
Jul 29, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2017 W Burbank Blvd
Burbank, CA 91506
Phone (818) 845-5889

566 W Lancaster Blvd
Ste 19
Lancaster, CA 93534
Phone (661) 579-6048

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
Julieta Minguillian Individual W-2 Managing EmployeeAdministrator Jul 8, 2019
Alvamarie Herradura Tabalon Individual 5% Or Greater Direct Ownership InterestCeo / President Sep 28, 2018 100%
Corporate OfficerCeo / President Sep 28, 2018 100%
Corporate DirectorCeo / President Sep 28, 2018 100%
W-2 Managing Employee Sep 28, 2018
Laila C Hanna Individual Contracted Managing EmployeeMedical Director Jul 8, 2019

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": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1952646820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 W LANCASTER BLVD STE 19",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342563",
            "telephone_number": "661-579-6048",
            "fax_number": "661-206-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 W LANCASTER BLVD STE 19",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342563",
            "telephone_number": "661-579-6048",
            "fax_number": "661-200-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED ALLIANCE HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "TABALON",
        "authorized_official_first_name": "ALVAMARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-268-8500"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.