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ANGENIDA HOSPICE LLC
NPI 1669008934
Hospice Care, Community Based in Tustin, CA

Active since March 19, 2020CLIA 05D2203465 · Waiver
14081 YORBA ST STE 201, TUSTIN, CA 92780(714) 442-3853(714) 442-4853 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angenida Hospice Llc NPPES

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

ANGENIDA HOSPICE LLC (NPI 1669008934) is a healthcare organization registered as a hospice care, community based in Tustin, California and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Fernan David, President, as its authorized official.

NPPES Registry Identity

NPI1669008934
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameANGENIDA HOSPICE LLC
Location Address14081 YORBA ST STE 201Tustin, CA 92780-2011
Mailing Address14081 Yorba St Ste 201Tustin, CA 92780-2011 · (714) 442-3853 · Fax (714) 442-4853
Phone(714) 442-3853
Fax(714) 442-4853
Organization SubpartNo
Authorized OfficialFernan DavidPresident · (714) 442-3853
Enumeration DateMarch 19, 2020
NPPES CertifiedMarch 19, 2020
✔ NPI 1669008934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
Also ListedNursing CareTaxonomy 251J00000X
14081 YORBA ST STE 201, Tustin, CA 92780
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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 05D2203465

Angenida Hospice LLC · Tustin, CA
Active · expires Dec 2, 2026
CLIA Number05D2203465
Laboratory TypeHospice
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorSieghart Ponhold
Laboratory Phone(714) 442-3853
Laboratory LocationAngenida Hospice LLC14081 Yorba Street Suite 201, Tustin, CA 92780
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 Angenida Hospice LLC (CMS certification number B31537), from CMS Care Compare.

Angenida Hospice LLC

Hospice · Tustin, CA
OwnershipFor-Profit
CMS Certification NumberB31537
CMS RegionRegion 9
Medicare-Certified SinceAugust 2, 2021
Location14081 Yorba St Suite 201Tustin, CA 92780 · Orange County
Phone(714) 442-3853

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 Angenida Hospice LLC's NPI number?

The NPI number for Angenida Hospice LLC is 1669008934. It was assigned to this organization in the NPPES registry on March 19, 2020.

Where is Angenida Hospice LLC located?

Angenida Hospice LLC is located at 14081 Yorba St Ste 201, Tustin, CA 92780. The listed phone number is (714) 442-3853.

What is Angenida Hospice LLC's specialty?

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

Does Angenida Hospice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2203465) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Angenida Hospice LLC a Medicare-certified hospice?

Yes. Angenida Hospice LLC is a Medicare-certified hospice (CMS certification number B31537), certified since August 2, 2021.

When was this NPI record last updated?

The NPPES record for Angenida Hospice LLC was last updated on March 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.