Organization Active NPI

Infinite Care Hospice Inc.

  • Community Based Hospice Care Agency
  • Irvine, CA
National Provider Identifier
1972123412
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
INFINITE CARE HOSPICE INC.
Doing business as
Infinite Care Hospice Inc.
Practice address
2102 Business Center Dr Ste 290
Irvine, CA 92612-1001
Phone
(949) 253-5732
Fax
(949) 253-5733
NPI assigned
Apr 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Authorized official

Name
Benjie Dizon
Title
C E O
Phone
(949) 506-8933

Specialties & licenses 1

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

Addresses

Primary practice location

2102 Business Center Dr Ste 290
Irvine, CA 92612-1001

Mailing address

2102 Business Center Dr Ste 290
Irvine, CA 92612-1001
Phone (949) 253-5732

Other names 1

  • Infinite Care Hospice Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200528000056 CA Part A Provider - Hospice 1355762469 Practice locations: Irvine, CA

Hospice certification: CCN A11721

Legal name
INFINITE CARE HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 8, 2021
Last certification
Mar 8, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 6, 2020 in CA
Enrollment address
2151 Michelson Dr
Ste 263
Irvine, CA 92612-1374

Care Compare: Hospice

Medicare Care Compare
Listed as
Newport HospiceCCN A11721 · All quality measures
Ownership
For-Profit
Certified
Mar 8, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2198115Infinite Care Hospice Inc2151 Michelson Drive, Suite 263, Irvine, CA 92612Certificate of waiverOct 28, 2026

National Provider Directory

National Provider Directory

Locations

2151 Michelson Dr
Ste 263
Irvine, CA 92612
Phone (949) 304-1451

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.

NameRoleSinceShare
Ava Hassan Individual 5% Or Greater Direct Ownership Interest May 12, 2022 100%
Corporate OfficerCeo,Cfo,Secretary,Administrator May 12, 2022 100%
Corporate DirectorCeo,Cfo,Secretary,Administrator May 12, 2022 100%
W-2 Managing EmployeeCeo,Cfo,Secretary,Administrator May 12, 2022 100%
Sara H Ghazi Individual Contracted Managing EmployeeMD; Aug 2, 2024

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": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1972123412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 BUSINESS CENTER DR STE 290",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121001",
            "telephone_number": "949-253-5732",
            "fax_number": "949-253-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 BUSINESS CENTER DR STE 290",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121001",
            "telephone_number": "949-253-5732",
            "fax_number": "949-253-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE CARE HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "DIZON",
        "authorized_official_first_name": "BENJIE",
        "authorized_official_title_or_position": "C E O",
        "authorized_official_telephone_number": "949-506-8933"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinite Care Hospice Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.