Organization Active NPI

Brio Enterprise Incorporated

  • Community Based Hospice Care Agency
  • Chino, CA
National Provider Identifier
1992014062
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BRIO ENTERPRISE INCORPORATED
Practice address
12588 Central Ave
Chino, CA 91710-3507
Phone
(909) 606-4415
Fax
(909) 606-4430
NPI assigned
Oct 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Simonette Agustin
Title
President/Owner
Phone
(909) 680-0059

Specialties & licenses 1

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

Addresses

Primary practice location

12588 Central Ave
Chino, CA 91710-3507

Mailing address

12588 Central Ave
Chino, CA 91710-3507
Phone (909) 606-4415

Other names 1

  • Brio Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110301000389 CA Part A Provider - Hospice 4284815952 Practice locations: Chino Hills, CA

Hospice certification: CCN 551673

Legal name
BRIO ENTERPRISE INCORPORATED
Doing business as
BRIO HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 18, 2012
Last certification
Jun 16, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 17, 2006 in CA
Enrollment address
14712 Pipeline Ave
Ste C
Chino Hills, CA 91709-1298

Care Compare: Hospice

Medicare Care Compare
Listed as
Brio HospiceCCN 551673
Ownership
For-Profit
Certified
Oct 18, 2012
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
05D2024582Brio Hospice12588 Central Ave, Chino, CA 91710Certificate of waiverMay 18, 2027

National Provider Directory

National Provider Directory

Locations

14712 Pipeline Ave
Ste C
Chino Hills, CA 91709
Phone (909) 606-4415

14788 Pipeline Ave
Ste A
Chino Hills, CA 91709
Phone (909) 680-0059

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Simonette Agustin Individual 5% Or Greater Direct Ownership Interest Jan 17, 2011
Corporate Director Jan 17, 2011
W-2 Managing Employee Mar 28, 2011

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1992014062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12588 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103507",
            "telephone_number": "909-606-4415",
            "fax_number": "909-606-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12588 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103507",
            "telephone_number": "909-606-4415",
            "fax_number": "909-606-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIO ENTERPRISE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "AGUSTIN",
        "authorized_official_first_name": "SIMONETTE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "909-680-0059"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brio Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.