Organization Active NPI

Ojax Hospice, Inc.

  • Community Based Hospice Care Agency
  • Pasadena, CA
National Provider Identifier
1952969818
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
OJAX HOSPICE, INC.
Practice address
1030 S Arroyo Pkwy Ste 208
Pasadena, CA 91105-3262
Phone
(818) 818-8141
Fax
(818) 936-0215
NPI assigned
Jun 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Authorized official

Name
Peter Ocello
Title
Ceo
Phone
(818) 818-8141

Specialties & licenses 1

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

Addresses

Primary practice location

1030 S Arroyo Pkwy Ste 208
Pasadena, CA 91105-3262

Mailing address

1030 S Arroyo Pkwy Ste 208
Pasadena, CA 91105-3262
Phone (818) 818-8141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200706000033 CA Part A Provider - Hospice 7810310117 Practice locations: Los Angeles, CA

Hospice certification: CCN B21572

Legal name
OJAX HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 30, 2021
Last certification
Apr 30, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 26, 2018 in CA
Enrollment address
3111 Los Feliz Blvd
Ste 208
Los Angeles, CA 90039-1585

Care Compare: Hospice

Medicare Care Compare
Listed as
Ojax Hospice, IncCCN B21572
Ownership
For-Profit
Certified
Apr 30, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3111 Los Feliz Blvd
Ste 208
Los Angeles, CA 90039
Phone (213) 723-2742

1030 S Arroyo Pkwy
Ste 208
Pasadena, CA 91105
Phone (818) 818-8141

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
Mariel Villareal Individual Corporate OfficerCfo/Secretary Aug 26, 2022 50%
Corporate DirectorCfo/Secretary Aug 26, 2022 50%
W-2 Managing EmployeeCfo/Secretary Aug 26, 2022 50%
Francis Villareal Individual 5% Or Greater Direct Ownership Interest Aug 26, 2022 50%
Angela Lopez Individual 5% Or Greater Direct Ownership Interest Sep 28, 2023 50%
Corporate OfficerCeo/Admin/DPCS Sep 23, 2023 50%
Corporate DirectorCeo/Admin/DPCS Sep 23, 2023 50%
Hanan Lobel Individual W-2 Managing EmployeeMedical Director Sep 28, 2023

Owners & managing parties with NPI records 2

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": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1952969818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S ARROYO PKWY STE 208",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053262",
            "telephone_number": "818-818-8141",
            "fax_number": "818-936-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S ARROYO PKWY STE 208",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053262",
            "telephone_number": "818-818-8141",
            "fax_number": "818-936-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OJAX HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "OCELLO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-818-8141"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.