BETHESDA HOSPICE, INC NPI 1699301838

Hospice Care, Community Based in San Marino, CA

NPI 1699301838 Organization Hospice Care, Community Based CLIA Number 05D2219108 CLIA Certificate of Waiver

About BETHESDA HOSPICE, INC

Bethesda Hospice, Inc is a provider established in San Marino, California specializing in hospice care, community based. The NPI number of Bethesda Hospice, Inc is 1699301838 and was assigned on March 2020. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Hana Chun (President, Director Of Nursing)

According to the Hospice Quality Reporting Program (HQRP) data this facility is for-profit and was certified on 12-02-2018 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.

The CLIA number of Bethesda Hospice, Inc is 05D2219108 registered as a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Bethesda Hospice, Inc 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.

NPI

1699301838

Provider NameBETHESDA HOSPICE, INC
Provider Location Address2304 HUNTINGTON DR STE 246 SAN MARINO, CA 91108
Provider Mailing Address2304 HUNTINGTON DR STE 246 SAN MARINO, CA 91108
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-19-2020
Last Update Date03-23-2020


Primary Taxonomy

Taxonomy Code251G00000X
ClassificationHospice Care, Community Based
TypeAgencies

Business Address

BETHESDA HOSPICE, INC
2304 HUNTINGTON DR STE 246
SAN MARINO, CA
ZIP 91108
Phone: (626) 921-5485

Get Directions


Mailing Address

BETHESDA HOSPICE, INC
2304 HUNTINGTON DR STE 246
SAN MARINO, CA
ZIP 91108
Phone:



Authorized Official

Authorized Official Name HANA CHUN
Authorized Official TitlePRESIDENT, DIRECTOR OF NURSING
Authorized Official Phone(626) 921-5485

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)A01556
Ownership TypeFor-Profit
Medicare Certification Date12-02-2018
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
Not Available - Results aren't available for this reporting period.
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
Not Available - Results aren't available for this reporting period.
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
Not Available - Results aren't available for this reporting period.
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
Not Available - Results aren't available for this reporting period.
Care Provided in Home
Percentage of days patients received care in home
Not Available - Results aren't available for this reporting period.
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
Not Available - Results aren't available for this reporting period.
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
Not Available - Results aren't available for this reporting period.
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
Not Available - Results aren't available for this reporting period.
Care Provided in All other locations
Percentage of days patients received care in other locations
Not Available - Results aren't available for this reporting period.
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
Not Available - Results aren't available for this reporting period.
Hospice and Palliative Care Treatment Preferences
Facility observed rate
Not Available - Data not submitted for this reporting period.
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
Not Available - Data not submitted for this reporting period.
Hospice and Palliative Care Pain Screening
Facility observed rate
Not Available - Data not submitted for this reporting period.
Hospice and Palliative Care Pain Assessment
Facility observed rate
Not Available - Data not submitted for this reporting period.
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
Not Available - Data not submitted for this reporting period.
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
Not Available - Data not submitted for this reporting period.
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
Not Available - Data not submitted for this reporting period.
Hospice and Palliative Care Composite Process Measure
Facility observed rate
Not Available - Data not submitted for this reporting period.
Hospice Visits When Death Is Imminent, Measure 1
Facility observed rate
Not Available - Data not submitted for this reporting period.
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
Not Available - Results aren't available for this reporting period.
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
Not Available - Results aren't available for this reporting period.
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
Not Available - Results aren't available for this reporting period.
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
Not Available - Results aren't available for this reporting period.
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
Not Available - Results aren't available for this reporting period.
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
Not Available - Results aren't available for this reporting period.
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.

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 the NPI number 1699301838 is:

CLIA Number05D2219108
Facility TypeHOSPICE
Certificate TypeCertificate of Waiver

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.