Eternally Yours Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ETERNALLY YOURS HOSPICE, INC.

Practice address

2550 E. Amar Rd.
Unit A1-G
West Covina, CA 91792

Phone

(626) 965-4200

Fax

(626) 965-4200

NPI assigned

Nov 26, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Cristine S Zapanta-Chavez

Title

Owner/President

Phone

(818) 223-9283

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 751657

Legal name

ETERNALLY YOURS HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 20, 2014

Last certification

Jun 4, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 16, 2009 in CA

Enrollment address

2550E Amar Rd A1G
West Covina, CA 91792-2236

Listed as

Eternally Yours Hospice, Inc.CCN 751657 · All quality measures

Ownership

For-Profit

Certified

Dec 20, 2014

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Malvin Yan, D.O.

  • Nephrology Physician
  • South Gate, CA
  • NPI 1033153101

  Contracted Managing Employee

  CMS ownership
• Cristine Zapanta

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1316132673

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1972831162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 E. AMAR RD.",
            "address_2": "UNIT A1-G",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91792",
            "telephone_number": "626-965-4200",
            "fax_number": "626-965-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 E. AMAR RD.",
            "address_2": "UNIT A1-G",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91792",
            "telephone_number": "626-965-4200",
            "fax_number": "626-965-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNALLY YOURS HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-26",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "ZAPANTA-CHAVEZ",
        "authorized_official_first_name": "CRISTINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "818-223-9283",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Estrada
• Shecid Estrada
• Stephanie Estrada
• Vanessa Estrada
• Eternal Hospice Care Inc.
• Ethos Health Care Services, Inc.
• Ethos Hospice Care
• Hazel Abalos Evalle, FNP-C
• Dominique Evans
• Evelyn a Ortega MD Inc

• Community Based Hospice Care Agency in West Covina, CA
• Providers in West Covina, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.

Verify at the official NPI Registry.