Ivy Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

IVY HOSPICE CARE, INC.

Practice address

545 N Mountain Ave Ste 101
Upland, CA 91786-5054

Phone

(909) 931-5090

Fax

(909) 931-5908

NPI assigned

Nov 10, 2014

Last updated

Aug 31, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joel Mangilit

Title

President/Ceo & Administrator

Phone

(909) 931-5090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972909596. Details of each certification follow.

• CCN 751688 Hospice · Active · Details

Hospice certification: CCN 751688

Legal name

IVY HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 29, 2015

Last certification

Sep 13, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 14, 2014 in CA

Enrollment address

545 N Mountain Ave
Ste 101
Upland, CA 91786-5054

Listed as

Ivy Hospice Care, IncCCN 751688 · All quality measures

Ownership

For-Profit

Certified

Jul 29, 2015

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 5

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 1

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

• Dejun Wang, M.D.

  • Internal Medicine Physician
  • Rowland Heights, CA
  • NPI 1275559288

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1972909596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 N MOUNTAIN AVE STE 101",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865054",
            "telephone_number": "909-931-5090",
            "fax_number": "909-931-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N MOUNTAIN AVE STE 101",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865054",
            "telephone_number": "909-931-5090",
            "fax_number": "909-931-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "MANGILIT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO & ADMINISTRATOR",
        "authorized_official_telephone_number": "909-931-5090"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Upland, CA
• Providers in Upland, 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 Aug 31, 2026; 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.