SKIRBALL HOSPICE
NPI 1275536732
Hospice, Inpatient in Encino, CA

NPI Status: Active since May 27, 2005

Contact Information

6345 BALBOA BLVD STE 315
ENCINO, CA
ZIP 91316
Phone: (818) 774-3040

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  • Organization
  • Hospice, Inpatient
  • CLIA Number: 05D2018997
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 01-19-2027

About SKIRBALL HOSPICE

This page provides the complete NPI Profile along with additional information for Skirball Hospice, a provider established in Encino, California operating as a Hospice, Inpatient. The healthcare provider is registered in the NPI registry with number 1275536732 assigned on May 2005. The practitioner's primary taxonomy code is 315D00000X with license number 980001583 (CA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Skirball Hospice. The authorized official of this NPI record is Ms. Mary M Forrest (Chief Executive Officer)

NPI
1275536732
Provider Legal Name
JHA GERIATRIC SERVICES, INC
Other Organization Name
SKIRBALL HOSPICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6345 BALBOA BLVD STE 315 ENCINO, CA 91316
Location Phone
(818) 774-3040
Mailing Address
7150 TAMPA AVE RESEDA, CA 91335
Mailing Phone
(818) 757-4447
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-27-2005
Last Update Date
05-23-2019
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According to the Hospice Quality Reporting Program (HQRP) data this facility is non-profit and was certified on 09-01-2004 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice, Inpatient

Taxonomy Code
315D00000X
Type
Nursing & Custodial Care Facilities
License No.
980001583
License State
CA
Taxonomy Description
A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MARY M FORREST

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(818) 774-3208

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
HPC01778FMEDICAID (05)CA 

Hospice Care Information

The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.

CMS Certification Number (CCN)051778
Ownership TypeNon-Profit
Medicare Certification Date09-01-2004
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
124.0
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
14
Care Provided in Home
Percentage of days patients received care in home
51
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
33
Care Provided in All other locations
Percentage of days patients received care in other locations
2
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Hospice and Palliative Care Treatment Preferences
Facility observed rate
100.0
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
100.0
Hospice and Palliative Care Pain Screening
Facility observed rate
99.7
Hospice and Palliative Care Pain Assessment
Facility observed rate
96.3
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
100.0
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
97.8
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
90.9
Hospice and Palliative Care Composite Process Measure
Facility observed rate
97.7
Hospice Visits in the Last Days of Life
429
Hospice Visits in the Last Days of Life
Facility observed rate
41.3
Hospice Care Index Overall Score
Facility observed rate
9.0
CHC/GIP provided (% days)
47,853
CHC/GIP provided (% days)
Facility observed rate
0.0
CHC/GIP provided (% days)
51
Gaps in nursing visits (% elections)
318
Gaps in nursing visits (% elections)
Facility observed rate
72.3
Gaps in nursing visits (% elections)
76
Early live discharges (% live discharges)
103
Early live discharges (% live discharges)
Facility observed rate
4.9
Early live discharges (% live discharges)
41
Late live discharges (% live discharges)
103
Late live discharges (% live discharges)
Facility observed rate
66.0
Late live discharges (% live discharges)
95
Burdensome transitions, Type 1(% live discharges)
103
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
5.8
Burdensome transitions, Type 1 (% live discharges)
45
Burdensome transitions, Type 2(% live discharges)
103
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
0.0
Burdensome transitions, Type 2 (% live discharges)
43
Per-beneficiary spending (U.S. dollars $)
619
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
16,651
Per-beneficiary spending (U.S. dollars $)
50
Nurse care minutes per routine home care days (minutes)
47,845
Nurse care minutes per routine home care days (minutes)
Facility observed rate
13.8
Nurse care minutes per routine home care days (minutes)
66
Skilled nursing minutes on weekends (% minutes)
659,970
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
7.1
Skilled nursing minutes on weekends (% minutes)
40
Visits near death (% decedents)
492
Visits near death (% decedents)
Facility observed rate
84.1
Visits near death (% decedents)
19
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
24
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
21
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
31
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
4
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
5
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
7
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Yes
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
No

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2018997
Facility Type
Community Clinic
Certificate Effective Date
January 20, 2025
Certificate Expiration Date
January 19, 2027
Laboratory Director
RICK SMITH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Skirball Hospice to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1275536732, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 4 + 5 + 1 + 0 + 3 + 1 + 2 + 7 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1275536732.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Hospice Care, Community Based
6345 BALBOA BLVD STE 315
ENCINO, CA 91316
Nurse Practitioner
6345 BALBOA BLVD STE 315
ENCINO, CA 91316

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275536732, enumerated as an "organization" on May 27, 2005.

The provider is located at 6345 BALBOA BLVD STE 315 ENCINO, CA 91316 and the phone number is (818) 774-3040.

Hospice, Inpatient with taxonomy code 315D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.