Emerald Gardens Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EMERALD GARDENS HOSPICE, INC.

Practice address

600 N Mountain Ave Ste C206
Upland, CA 91786-4367

Phone

(818) 000-0000

Fax

(818) 000-0000

NPI assigned

Feb 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Marshak

Title

Ceo

Phone

(714) 587-9077

Specialties & licenses 1

Addresses

Other names 1

• Butterfly Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A01592

Legal name

EMERALD GARDENS HOSPICE, INC

Doing business as

BUTTERFLY HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 29, 2019

Last certification

Mar 29, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jan 4, 2017 in CA

Enrollment address

600 N Mountain Ave
Ste C206
Upland, CA 91786-4367

Listed as

Butterfly HospiceCCN A01592

Ownership

For-Profit

Certified

Mar 29, 2019

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 6

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 3

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

• Amy P Bansal, M.D.

  • Otolaryngology Physician
  • Los Angeles, CA
  • NPI 1437569613

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Liviu A. Chindris, M.D

  • Internal Medicine Physician
  • Sierra Madre, CA
  • NPI 1730156472

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer

  CMS ownership
• Glenn A Marshak, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
  • NPI 1104890029

  Corporate Director, Corporate Officer, Other, W-2 Managing Employee

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Hospice of Orange County, Inc.

  • Community Based Hospice Care Agency
  • Fullerton, CA
  • NPI 1417381336

  Glenn and Nathalie Marshal Family Trust, Herman Living Trust Dated 02/20/1997

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Pranit Shrestha, M.D., M.P.H.

  • Internal Medicine Physician
  • Gardena, CA
  • NPI 1164839775

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1982142170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE",
            "address_2": "C206",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864359",
            "telephone_number": "818-000-0000",
            "fax_number": "818-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE C206",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864367",
            "telephone_number": "818-000-0000",
            "fax_number": "818-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD GARDENS HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "MARSHAK",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-587-9077",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Butterfly Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Upland, CA
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.