Divine Angels Hospice

Medicare Certified Hospice


 
4712 Brooks St, Montclair
    California, 91763

(90-9) -399-3323    909-494-7625   Maps & Directions
Divine Angels Hospice is a hospice care center situated at Montclair, California. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Divine Angels Hospice accommodated approx. 42 Medicare beneficiaries whose average age was 83 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is A11669. Divine Angels Hospice 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 Divine Angels Hospice 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.

Divine Angels Hospice 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.
Hospice Profile:
Divine Angels Hospice 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) A11669
Hospice’s Ownership Type:For-Profit (06 Proprietary - Corporation)
Accreditation Joint Commission (JC)
Hospice Address:4712 Brooks St, Montclair,
California, 91763
County:San Bernardino
Phone:(90-9) -399-3323
Fax:909-494-7625
CMS Regional Office San Francisco
Medicare Certification:
Medicare certification details of Divine Angels Hospice with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:29 Nov, 2020
Current Status: Active Provider
Latest visit of the Health or LSC survey: 29 Nov, 2020
Certificate Provider: CMS Regional Office
Provider's Billing ID: 1992232953
CBSA Code 40140 (Urban)
Federal Certification Status Certified (as on 01 Apr, 2024)
National Hospice Spending and Utilization (2022):
National Hospice Spending and Utilization based on FY 2022 for Divine Angels Hospice 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 42
RHC Days (in %) 100
Episode or Stay Count 44
Total Nursing Minutes 60075 Minutes (1001.25 Hours)
Days of Service 4,657
Average Age of Beneficiary 83 year
Average Risk Score of Beneficiaries 2.18
Total Medicare Payment Amount $ 966,859
Total Medicare Standard Payment Amount $ 813,946
Total Medicare Allowed Payment Amount $ 966,859
Total Charge Amount $ 1,124,624

Average Hospice Visit Count


Divine Angels Hospice have 860 skilled nursing visits, 56 social work visits and 679 Number of home health aide visits provided by the home health agency or hospice.


Beneficiaries by Gender


Divine Angels Hospice rendered hospice services to 43% Male and 57% Female Medicare beneficiaries in a Fiscal year.

Beneficiaries by Race


Divine Angels Hospice provided hospice care to 45% White, 38% Hispanic, 7% not disclosed Medicare beneficiaries in a Fiscal year.

Medicare/Medicaid Eligible Beneficiaries


At Divine Angels Hospice, 36% of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits, (also be referred to as dual eligibility). Beneficiaries are classified as a dual if in any month in the given calendar year they were receiving full or partial Medicaid benefits.


Beneficiaries with Primary Disease Diagnosis

At Divine Angels Hospice, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 61 of Diseases of the Nervous System, 39 of Diseases of the Circulatory System,

Services Provided:
Services available at Divine Angels Hospice are mentioned below along with the information that who will provide the service like whether it will be provided by hospice staff or will be arranged from any 3rd source or outer source.
Services AvailableProvided By
Home Health AideHospice Staff
CounselingHospice Staff
HomemakerHospice Staff
Medical Social ServicesHospice Staff
Medical Supply ServicesProvided under Arrangement
Nursing ServicesHospice Staff
Occupational TherapyProvided under Arrangement
OtherProvided under Arrangement
Physician ServicesHospice Staff
Physical TherapyProvided under Arrangement
Short Term Inpatient CareProvided under Arrangement
Speech Pathology ServicesProvided under Arrangement
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 NameScore (in %)National Average
Treatment Preferences 100.098.3
Beliefs/Values Addressed (if desired by the patient) 100.093.6
Pain Screening 100.093.9
Pain Assessment Not Available77.7
Dyspnea Screening 100.097.3
Dyspnea Treatment 95.294.6
Patients Treated with an Opioid who are Given a Bowel Regimen Not Available93.3
Employee Count:
Divine Angels Hospice employee information is available below according to the service area, it is also divided among volunteer and employed count.
Services Employed CountVolunteer Count
Home Health Aide1.00.0
Counseling1.0 0.0
Homemaker0.01.0
Medical Social Services1.00.0
Registered Nurses2.00.0
Practical/Vocational Nurses1.0 0.0
Other Personnel0.0 2.0
Physician Services2.0 0.0
TOTAL8.03.0
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. Arbi Masihi
Position: Ceo
Contact Number: 909-399-3323
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: 1992232953
NPI Enumeration Date: 21 May, 2017
NPI Last Update On: 21 Jul, 2022
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Divine Angels Hospice are as mentioned below.
SpecializationLicense NumberStateStatus
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: 4712 Brooks St,
Montclair, California
Zip: 91763-4723
Phone Number: 909-399-3323
Fax Number: 909-494-7625
Patients can reach Divine Angels Hospice at 4712 Brooks St, Montclair, California or can call to book an appointment on (90-9) -399-3323.
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