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PREMIUM HOSPICE, INC
NPI 1063712214
Hospice Care, Community Based in Norwalk, CA

Active since October 21, 2010CLIA 05D2029541 · Waiver
12241 FIRESTONE BLVD, SUITE A & B, NORWALK, CA 90650(562) 929-7221(562) 929-7224 Get Directions Write a Review

NPPES record last updated: October 21, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Premium Hospice, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIUM HOSPICE, INC (NPI 1063712214) is a healthcare organization registered as a hospice care, community based in Norwalk, California and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Annabelle Gatchalian Agulto, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063712214
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NamePREMIUM HOSPICE, INC
Location Address12241 FIRESTONE BLVD, SUITE A & BNorwalk, CA 90650-4323
Mailing Address12241 Firestone Blvd, Suite A & BNorwalk, CA 90650-4323 · (562) 929-7221 · Fax (562) 929-7224
Phone(562) 929-7221
Fax(562) 929-7224
Organization SubpartNo
Authorized OfficialAnnabelle Gatchalian AgultoAdministrator · (562) 929-7221
Enumeration DateOctober 21, 2010
✔ NPI 1063712214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
12241 FIRESTONE BLVD, Norwalk, CA 90650
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2029541

Premium Hospice Inc · Norwalk, CA
Active · expires Sep 8, 2027
CLIA Number05D2029541
Laboratory TypeHospice
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorAlan A. Frischer
Laboratory Phone(562) 929-7221
Laboratory LocationPremium Hospice Inc12241 Firestone Blvd Ste A & B, Norwalk, CA 90650
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Premium Hospice, Inc. (CMS certification number 551659), from CMS Care Compare.

Premium Hospice, Inc.

Hospice · Norwalk, CA
OwnershipFor-Profit
CMS Certification Number551659
CMS RegionRegion 9
Medicare-Certified SinceJune 29, 2012
Average Daily Census23patients per day on average
Location12241 Firestone Blvd., Suite A & BNorwalk, CA 90650 · Los Angeles County
Phone(562) 929-7221
Routine home care and other levels of care Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home73%
Assisted living facility10%
Nursing facility0%
Skilled nursing facility15%
Inpatient hospice facility0%
Inpatient hospital0%
Other locations2%
Patients with cancer
21%
Patients with dementia
36%
Patients with circulatory or heart disease
20%
Patients with other conditions
0%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice and Palliative Care Treatment Preferences
64 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
64 patient stays
100%
Hospice and Palliative Care Pain Screening
64 patient stays
100%
Hospice and Palliative Care Pain Assessment
27 patient stays
100%
Hospice and Palliative Care Dyspnea Screening
64 patient stays
100%
Hospice and Palliative Care Dyspnea Treatment
58 patient stays
100%
Hospice and Palliative Care Composite Process Measure
64 patient stays
100%
Hospice Visits in the Last Days of Life
86 patient stays
33.7%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
9/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 65
0.1%
Gaps in nursing visits
National percentile 31
40.8%
Early live discharges
National percentile 41
4.8%
Late live discharges
National percentile 92
61.9%
Burdensome transitions, Type 1
National percentile 39
4.8%
Burdensome transitions, Type 2
National percentile 43
0%
Per-beneficiary spending
National percentile 79
$22,432
Nurse care minutes per routine home care days
National percentile 62
13.4 minutes
Skilled nursing minutes on weekends
National percentile 39
7%
Visits near death
National percentile 55
93.9%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMIUM HOME HEALTH, INC.
Home Health
12241 FIRESTONE BLVD, SUITE C AND D
NORWALK, CA 90650
Los Angeles County (562) 929-2880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premium Hospice, Inc's NPI number?

The NPI number for Premium Hospice, Inc is 1063712214. It was assigned to this organization in the NPPES registry on October 21, 2010.

Where is Premium Hospice, Inc located?

Premium Hospice, Inc is located at 12241 Firestone Blvd Suite A & B, Norwalk, CA 90650. The listed phone number is (562) 929-7221.

What is Premium Hospice, Inc's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Premium Hospice, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2029541) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Premium Hospice, Inc a Medicare-certified hospice?

Yes. Premium Hospice, Inc. is a Medicare-certified hospice (CMS certification number 551659), certified since June 29, 2012.

When was this NPI record last updated?

The NPPES record for Premium Hospice, Inc was last updated on October 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.