Active NPI
Infinite Care Hospice Inc.
- Community Based Hospice Care Agency
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Hospice
- Ownership
- For-Profit
- Certified
- Mar 8, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2198115 | Infinite Care Hospice Inc | Certificate of waiver | Oct 28, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ava Hassan | 5% Or Greater Direct Ownership Interest | May 12, 2022 | 100% |
| Corporate Officer | May 12, 2022 | 100% | |
| Corporate Director | May 12, 2022 | 100% | |
| W-2 Managing Employee | May 12, 2022 | 100% | |
| Sara H Ghazi | Contracted Managing Employee | 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.
-
- Hospitalist Physician
- Fountain Valley, CA
- NPI 1861816886
Contracted 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": "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"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.