Active NPI
Ojax Hospice, Inc.
- Community Based Hospice Care Agency
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- For-Profit
- Certified
- Apr 30, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mariel Villareal | Corporate Officer | Aug 26, 2022 | 50% |
| Corporate Director | Aug 26, 2022 | 50% | |
| W-2 Managing Employee | Aug 26, 2022 | 50% | |
| Francis Villareal | 5% Or Greater Direct Ownership Interest | Aug 26, 2022 | 50% |
| Angela Lopez | 5% Or Greater Direct Ownership Interest | Sep 28, 2023 | 50% |
| Corporate Officer | Sep 23, 2023 | 50% | |
| Corporate Director | Sep 23, 2023 | 50% | |
| Hanan Lobel | W-2 Managing Employee | 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.
-
- Family Nurse Practitioner
- Simi Valley, CA
- NPI 1790314888
Corporate Director, Corporate Officer, W-2 Managing Employee
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.