Active NPI
Geiss Med Hospice LLC
- Community Based Hospice Care Agency
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GEISS MED HOSPICE LLC
- Practice address
- 5 Hutton Centre Dr Ste 740
Santa Ana, CA 92707-6709 - Phone
- (855) 919-9393
- Fax
- (657) 340-1017
- NPI assigned
- Oct 22, 2018
- 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
- John Mark Geiss, DO
- Title
- Owner/Ceo
- Phone
- (657) 315-0858
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
5 Hutton Centre Dr Ste 740
Santa Ana, CA 92707-6709
Mailing address
5 Hutton Centre Dr Ste 740
Santa Ana, CA 92707-6709
Phone (855) 919-9393
Other names 1
- Mountain View Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220623000045 | CA | Part A Provider - Hospice | 5294135174 | Practice locations: Santa Ana, CA |
Hospice certification: CCN A01734
- Legal name
- GEISS MED HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 6, 2020
- Last certification
- Mar 6, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Enrollment address
- 5 Hutton Centre Dr
Ste 740
Santa Ana, CA 92707-6709
Care Compare: Hospice
Medicare Care Compare- Listed as
- Geiss Med Hospice LLC
- Ownership
- For-Profit
- Certified
- Mar 6, 2020
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
1811 W Katella Ave
Ste 211
Anaheim, CA 92804
Phone (714) 491-7146
5 Hutton Centre Dr
Ste 740
Santa Ana, CA 92707
Phone (855) 919-9393
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Griggs | W-2 Managing Employee | Mar 1, 2026 | |
| John Geiss | 5% Or Greater Direct Ownership Interest | Apr 29, 2021 | 100% |
| Operational/Managerial Control | Apr 29, 2021 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1053651497
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Change-of-ownership history 2
| Date | Event | Counterparty |
|---|---|---|
| Apr 29, 2021 | Change of Ownership | Hospice at Home |
| Apr 29, 2021 | Change of Ownership | Geiss Med Hospice LLC |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1053651497
Affiliated clinicians 7
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": "1540166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719360000000",
"number": "1962978429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HUTTON CENTRE DR STE 740",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927076709",
"telephone_number": "855-919-9393",
"fax_number": "657-340-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 HUTTON CENTRE DR STE 740",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927076709",
"telephone_number": "855-919-9393",
"fax_number": "657-340-1017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEISS MED HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-22",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A",
"authorized_official_last_name": "GEISS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "657-315-0858",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mountain View Hospice",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.