Divine Angels Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DIVINE ANGELS HOSPICE

Practice address

4712 Brooks St
Montclair, CA 91763-4723

Phone

(909) 399-3323

Fax

(909) 494-7625

NPI assigned

May 21, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Arbi Masihi

Title

Ceo

Phone

(909) 399-3323

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A11669

Legal name

DIVINE ANGELS HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 29, 2020

Last certification

Nov 29, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 21, 2016 in CA

Enrollment address

4712 Brooks St
Montclair, CA 91763-4723

Listed as

Divine Angels HospiceCCN A11669

Ownership

For-Profit

Certified

Nov 29, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Affiliated clinicians 1

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

• Michael Tehrani, M.D.

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1427320704

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1495324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992232953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 BROOKS ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634723",
            "telephone_number": "909-399-3323",
            "fax_number": "909-494-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 BROOKS ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634723",
            "telephone_number": "909-399-3323",
            "fax_number": "909-494-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE ANGELS HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MASIHI",
        "authorized_official_first_name": "ARBI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-399-3323",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Dieguez
• Dignity Adhc Ecm Program Inc.
• Dignity Adult Day Health Care Center
• Jiansan Ding, ACUPUNCTURIST (A.LC)
• Raleen Ann Dinger, MS
• Divine Mercy Hospice, Inc
• Tracy DO
• Doctors' Hospital Medical Center of Montclair
• Doctors' Hospital Medical Center of Montclair
• Shericka Donnmonique Dollarhide

• Community Based Hospice Care Agency in Montclair, CA
• Providers in Montclair, 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 Jul 21, 2022; 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.