Country Club Hospice, Inc is a hospice care center situated at Burbank, California. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Country Club Hospice, Inc accommodated approx. 34 Medicare beneficiaries whose average age was 86 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is B21787. Country Club Hospice, Inc comes under the CMS regional office located at San Francisco. This CMS regional office covers all hospices located in Arizona, California, Hawaii, Nevada, Pacific Territories. Services provided at Country Club Hospice, Inc mainly includes home health aide, counseling, homemaker, medical social services, medical supply services, nursing services, occupational therapy, other, physician services, physical therapy, short term inpatient care, speech pathology services. Country Club Hospice, Inc provides special care for people who are terminally ill. This involves a team-oriented approach that addresses the medical, physical, social, emotional, and spiritual needs of the patient. Hospice also provides support to the patient’s family or caregiver.
Complete Hospice Profile:
Country Club Hospice, Inc. type, unique identification code, ownership type, accreditation,short term inpatient care type, address, contact number, fax number and all other information is provided as below.
Recipients can directly walkin or can call on the below given phone number for appointment.
Hospice ID (CCN)
B21787
Hospice’s Ownership Type:
For-Profit
Accreditation
UnAccredited
Hospice Address:
3089 N Lima Street Suite D, Burbank, California, 91504
County:
Los Angeles
Phone:
(74-7) -200-4175
Fax:
747-273-0558
CMS Regional Office
San Francisco
Medicare Certification:
Medicare certification details of Country Club Hospice, Inc with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:
Yes
Medicare Certification Date:
16 Nov, 2021
Certificate Provider:
CMS Regional Office
National Hospice Spending and Utilization (2022):
National Hospice Spending and Utilization based on FY 2022 for Country Club Hospice, Inc are stated below it includes number of beneficiaries, average age of beneficiaries accommodated in hospice, total medicare payment amount received by hospice, total charge amount of the hospice.
Beneficiaries
34
RHC Days (in %)
100
Episode or Stay Count
34
Total Nursing Minutes
30480 Minutes (508 Hours)
Days of Service
1,597
Average Age of Beneficiary
86 year
Average Risk Score of Beneficiaries
2.00
Total Medicare Payment Amount
$ 348,495
Total Medicare Standard Payment Amount
$ 298,161
Total Medicare Allowed Payment Amount
$ 348,495
Total Charge Amount
$ 545,766
Average Hospice Visit Count
Country Club Hospice, Inc have 533 skilled nursing visits, 63 social work visits and 548 Number of home health aide visits provided by the home health agency or hospice.
Beneficiaries by Gender
Country Club Hospice, Inc rendered hospice services to 32% Male and 68% Female Medicare beneficiaries in a Fiscal year.
Beneficiaries by Race
Country Club Hospice, Inc provided hospice care to 85% White, 5% not disclosed Medicare beneficiaries in a Fiscal year.
Beneficiaries with Primary Disease Diagnosis
At Country Club Hospice, Inc, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 50 of Diseases of the Nervous System,
Quality of Patient Care:
Quality of patient care is measured based on the survey done by the patients who received the hospice care, as well as the experiences of their informal primary caregivers.
Main points included in the survey are treatment preferences, beliefs/values addressed (if desired by the patient), pain screening, pain assessment, dyspnea screening, dyspnea treatment,patients treated with an opioid who are given a bowel regimen.
Measure Name
Score (in %)
National Average
Treatment Preferences
93.3
98.3
Beliefs/Values Addressed (if desired by the patient)
93.3
93.6
Pain Screening
93.3
93.9
Pain Assessment
Not Available
77.7
Dyspnea Screening
93.3
97.3
Dyspnea Treatment
Not Available
94.6
Patients Treated with an Opioid who are Given a Bowel Regimen
Not Available
93.3
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this hospice are as below. Person's position and contact details are also mentioned below.
Name:
Mr. David Gabrielyan
Position:
Ceo
Contact Number:
747-200-4175
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of stated hospice are as mentioned below.
NPI Number:
1215543434
NPI Enumeration Date:
22 Sep, 2020
NPI Last Update On:
04 Feb, 2021
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Country Club Hospice, Inc are as mentioned below.
Specialization
License Number
State
Status
Hospice Care, Community Based
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3089 N Lima St Ste D, Burbank, California
Zip:
91504-2013
Phone Number:
747-200-4175
Fax Number:
747-273-0558
Patients can reach Country Club Hospice, Inc. at 3089 N Lima Street Suite D, Burbank, California or can call to book an appointment on (74-7) -200-4175.