TLC Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

TLC HOSPICE INC

Practice address

2323 W Lincoln Ave
Suite 209
Anaheim, CA 92801-5100

Phone

(714) 767-7270

Fax

(714) 783-3053

NPI assigned

Dec 14, 2016

Last updated

Aug 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nitin Verma

Title

Ceo

Phone

(714) 767-7270

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952845687. Details of each certification follow.

• CCN A01531 Hospice · Active · Details

Hospice certification: CCN A01531

Legal name

TLC HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 17, 2018

Last certification

Dec 17, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 27, 2016 in CA

Enrollment address

2323 W Lincoln Ave
Ste 209
Anaheim, CA 92801-5100

Listed as

TLC Hospice IncCCN A01531 · All quality measures

Ownership

For-Profit

Certified

Dec 17, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 1

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

• Anita Kundi, D.O

  • Family Medicine Physician
  • Chino, CA
  • NPI 1518933266

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1952845687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 W LINCOLN AVE",
            "address_2": "SUITE 209",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015100",
            "telephone_number": "714-767-7270",
            "fax_number": "714-783-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 W LINCOLN AVE",
            "address_2": "SUITE 209",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015100",
            "telephone_number": "714-767-7270",
            "fax_number": "714-783-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "NITIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-767-7270",
        "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": []
}

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• Community Based Hospice Care Agency in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.

Verify at the official NPI Registry.