AFFECTIVE HOSPICE CARE, INC.
NPI 1548645302
Hospice Care, Community Based in Montclair, CA
Active since July 22, 2015CLIA 05D2107459 · Waiver
5050 PALO VERDE ST, SUITE 208, MONTCLAIR, CA 91763(909) 962-7488(909) 962-7322 Get Directions Write a Review
About Affective Hospice Care, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AFFECTIVE HOSPICE CARE, INC. (NPI 1548645302) is a healthcare organization registered as a hospice care, community based in Montclair, California and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Justin Ivan Felipe, Ceo/owner, as its authorized official.
NPPES Registry Identity
NPI1548645302
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameAFFECTIVE HOSPICE CARE, INC.
Location Address5050 PALO VERDE ST, SUITE 208Montclair, CA 91763-2329
Mailing Address5050 Palo Verde St, Suite 208Montclair, CA 91763-2329 · (909) 962-7488 · Fax (909) 962-7322
Phone(909) 962-7488
Fax(909) 962-7322
Organization SubpartNo
Authorized OfficialJustin Ivan FelipeCeo/owner · (909) 962-7488
Enumeration DateJuly 22, 2015
✔ NPI 1548645302 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
5050 PALO VERDE ST, Montclair, CA 91763
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 05D2107459
Affective Hospice Care, Inc · Montclair, CACLIA Number05D2107459
Laboratory TypeHospice
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorMichael Chai, MD
Laboratory Phone(909) 962-7488
Laboratory LocationAffective Hospice Care, Inc5050 Palo Verde St Ste 208, Montclair, CA 91763
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.
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) | 921729 |
| Ownership Type | For-Profit |
| Medicare Certification Date | 12-26-2017 |
| Quality Measure | Measure Score |
|---|---|
| Average Daily Census Number of patients cared for by a hospice on average each day | 20.0 |
| 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 | 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 Home Percentage of days patients received care in home | 100 |
| 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 | 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. |
| 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 | 100.0 |
| Hospice and Palliative Care Pain Assessment Facility observed rate | 100.0 |
| Hospice and Palliative Care Dyspnea Screening Facility observed rate | 100.0 |
| Hospice and Palliative Care Dyspnea Treatment Facility observed rate | 100.0 |
| 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). |
| Hospice and Palliative Care Composite Process Measure Facility observed rate | 93.8 |
| Hospice Visits in the Last Days of Life | 53 |
| Hospice Visits in the Last Days of Life Facility observed rate | 1.9 |
| Hospice Care Index Overall Score Facility observed rate | 9.0 |
| CHC/GIP provided (% days) | 19,470 |
| CHC/GIP provided (% days) Facility observed rate | 0.0 |
| CHC/GIP provided (% days) | 51 |
| Gaps in nursing visits (% elections) | 92 |
| Gaps in nursing visits (% elections) Facility observed rate | 54.3 |
| Gaps in nursing visits (% elections) | 49 |
| Early live discharges (% live discharges) | 52 |
| Early live discharges (% live discharges) Facility observed rate | 7.7 |
| Early live discharges (% live discharges) | 63 |
| Late live discharges (% live discharges) | 52 |
| Late live discharges (% live discharges) Facility observed rate | 57.7 |
| Late live discharges (% live discharges) | 89 |
| Burdensome transitions, Type 1(% live discharges) | 52 |
| Burdensome transitions, Type 1 (% live discharges) Facility observed rate | 5.8 |
| Burdensome transitions, Type 1 (% live discharges) | 45 |
| Burdensome transitions, Type 2(% live discharges) | 52 |
| Burdensome transitions, Type 2 (% live discharges) Facility observed rate | 1.9 |
| Burdensome transitions, Type 2 (% live discharges) | 60 |
| Per-beneficiary spending (U.S. dollars $) | 122 |
| Per-beneficiary spending (U.S. dollars $) Facility observed rate | 31,680 |
| Per-beneficiary spending (U.S. dollars $) | 95 |
| Nurse care minutes per routine home care days (minutes) | 19,466 |
| Nurse care minutes per routine home care days (minutes) Facility observed rate | 12.0 |
| Nurse care minutes per routine home care days (minutes) | 47 |
| Skilled nursing minutes on weekends (% minutes) | 234,120 |
| Skilled nursing minutes on weekends (% minutes) Facility observed rate | 19.8 |
| Skilled nursing minutes on weekends (% minutes) | 95 |
| Visits near death (% decedents) | 72 |
| Visits near death (% decedents) Facility observed rate | 87.5 |
| Visits near death (% decedents) | 26 |
| Percent of Patients with Cancer Percentage of patients at hospice who had Cancer as their primary diagnosis | 34 |
| Percent of Patients with Circulatory/heart disease Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis | Not Available - Number of patients is too small to report. |
| Percent of Patients with Dementia Percentage of patients at hospice who had Dementia as their primary diagnosis | 24 |
| Percent of Patients with Other Conditions Percentage of patients at hospice who had some other conditions as their primary diagnosis | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Percent of Patients with Respiratory disease Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Percent of Patients with Stroke Percentage of patients at hospice who had Stroke as their primary diagnosis | Not Available - Number of patients is too small to report. |
| 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 |
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548645302, enumerated as an "organization" on July 22, 2015.
The provider is located at 5050 PALO VERDE ST SUITE 208 MONTCLAIR, CA 91763 and the phone number is (909) 962-7488.
Hospice Care, Community Based with taxonomy code 251G00000X.
