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: 05D1008020
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 01-07-2025

About SKIRBALL HOSPICE

Skirball Hospice is 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 5 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 for-profit and was certified on 09-01-2004 This facility was recently evaluated on the following quality measures: average daily census, average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient with both medicare and medicaid coverage during one year and hospice served at least 1 patient enrolled in medicare advantage during one year, etc.

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:

  • Medicare

  • Medicaid


*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)51778
Ownership TypeFor-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
122
Average Daily Census
Number of patients cared for by a hospice on average each day
59
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 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
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
22
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
37
Care Provided in Home
Percentage of days patients received care in home
50
Care Provided in Home
Percentage of days patients received care in home
46
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 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 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
32
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
7
Care Provided in All other locations
Percentage of days patients received care in other locations
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 All other locations
Percentage of days patients received care in other locations
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 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.
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
6
Hospice and Palliative Care Treatment Preferences
Facility observed rate
100
Hospice and Palliative Care Treatment Preferences
Facility observed rate
100
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
100
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
100
Hospice and Palliative Care Pain Screening
Facility observed rate
99.1
Hospice and Palliative Care Pain Screening
Facility observed rate
97.5
Hospice and Palliative Care Pain Assessment
Facility observed rate
92.2
Hospice and Palliative Care Pain Assessment
Facility observed rate
51.4
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
99.7
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
97.8
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
97.8
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
97.4
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
Not Available - The number of patient stays is too small to report (less than 20 patient stays).
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
40
Hospice and Palliative Care Composite Process Measure
Facility observed rate
96.7
Hospice and Palliative Care Composite Process Measure
Facility observed rate
85.3
Hospice Visits in the Last Days of Life
225
Hospice Visits in the Last Days of Life
522
Hospice Visits in the Last Days of Life
Facility observed rate
26.6
Hospice Visits in the Last Days of Life
Facility observed rate
10.2
Hospice Care Index Overall Score
Facility observed rate
9
Hospice Care Index Overall Score
Facility observed rate
4
CHC/GIP provided (%days)
93,689
CHC/GIP provided (%days)
62,340
CHC/GIP provided (%days)
Facility observed rate
0.5
CHC/GIP provided (%days)
Facility observed rate
0
CHC/GIP provided (%days)
43
CHC/GIP provided (%days)
78
Gaps in nursing visits (% elections)
414
Gaps in nursing visits (% elections)
512
Gaps in nursing visits (% elections)
Facility observed rate
95.3
Gaps in nursing visits (% elections)
Facility observed rate
48.1
Gaps in nursing visits (% elections)
44
Gaps in nursing visits (% elections)
100
Early live discharges (% live discharges)
69
Early live discharges (% live discharges)
184
Early live discharges (% live discharges)
Facility observed rate
12
Early live discharges (% live discharges)
Facility observed rate
17.4
Early live discharges (% live discharges)
94
Early live discharges (% live discharges)
82
Late live discharges (% live discharges)
184
Late live discharges (% live discharges)
69
Late live discharges (% live discharges)
Facility observed rate
31.9
Late live discharges (% live discharges)
Facility observed rate
33.7
Late live discharges (% live discharges)
51
Late live discharges (% live discharges)
44
Burdensome transitions, Type 1(% live discharges)
69
Burdensome transitions, Type 1(% live discharges)
184
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
13.6
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
10.1
Burdensome transitions, Type 1 (% live discharges)
67
Burdensome transitions, Type 1 (% live discharges)
81
Burdensome transitions, Type 2(% live discharges)
184
Burdensome transitions, Type 2(% live discharges)
69
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
5.8
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
3.3
Burdensome transitions, Type 2 (% live discharges)
75
Burdensome transitions, Type 2 (% live discharges)
91
Per-beneficiary spending (U.S. dollars $)
825
Per-beneficiary spending (U.S. dollars $)
669
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
19,150
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
22,515
Per-beneficiary spending (U.S. dollars $)
90
Per-beneficiary spending (U.S. dollars $)
80
Nurse care minutes per routine home care days (minutes)
62,107
Nurse care minutes per routine home care days (minutes)
93,677
Nurse care minutes per routine home care days (minutes)
Facility observed rate
6.2
Nurse care minutes per routine home care days (minutes)
Facility observed rate
14.7
Nurse care minutes per routine home care days (minutes)
68
Nurse care minutes per routine home care days (minutes)
3
Skilled nursing minutes on weekends (% minutes)
580,545
Skilled nursing minutes on weekends (% minutes)
910,410
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
14.1
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
7.7
Skilled nursing minutes on weekends (% minutes)
45
Skilled nursing minutes on weekends (% minutes)
89
Visits near death (% decedents)
370
Visits near death (% decedents)
598
Visits near death (% decedents)
Facility observed rate
76.6
Visits near death (% decedents)
Facility observed rate
77.8
Visits near death (% decedents)
10
Visits near death (% decedents)
9
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
20
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
19
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
17
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
30
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
30
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
7
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
6
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
10
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
7
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
8
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
6
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 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
Not Available - Results aren't available for this reporting period.
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
Not Available - Results aren't available for this reporting period.
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
05D1008020
Facility Type
Hospice
Certificate Effective Date
January 08, 2023
Certificate Expiration Date
January 07, 2025
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.

Reviews for SKIRBALL HOSPICE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275536732
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451031276
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 0 + 3 + 1 + 2 + 7 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1275536732 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255726485DR. OREN SIMANTOV RAPHAEL MD
Individual
Internal Medicine (Hospice and Palliative Medicine)6345 BALBOA BLVD STE 315
ENCINO, CA 91316
(818) 774-3040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275536732, enumerated in the NPI registry 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

This medical organization specializes in 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 make sure your health plan is currently accepted.

The provider's CLIA number is 05D1008020 for a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on May 27, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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