Premium Hospice, Inc.



  
12241 Firestone Blvd., Suite A & B, Norwalk
California, 90650

 (56-2) -929-7221   Maps & Directions
Premium Hospice, Inc. is a hospice care center situated at Norwalk, California. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Premium Hospice, Inc. accommodated approx. 73 Medicare beneficiaries whose average age was 87 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is 551659. Premium 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 Premium 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.
Premium 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:
Premium 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) 551659
Hospice’s Ownership Type:For-Profit (06 Proprietary - Corporation)
Accreditation Joint Commission (JC)
Hospice Address:12241 Firestone Blvd., Suite A & B, Norwalk,
California, 90650
County:Los Angeles
Phone:(56-2) -929-7221
Fax:562-929-7224
CMS Regional Office San Francisco
Medicare Certification:
Medicare certification details of Premium Hospice, Inc. with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:29 Jun, 2012
Current Status: Active Provider
Latest visit of the Health or LSC survey: 16 Aug, 2018
Certificate Provider: CMS Regional Office
CBSA Code 31084 (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 Premium 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 73
RHC Days (in %) 100
Episode or Stay Count 76
Total Nursing Minutes 89895 Minutes (1498.25 Hours)
Days of Service 5,887
Average Age of Beneficiary 87 year
Average Risk Score of Beneficiaries 2.84
Total Medicare Payment Amount $ 1,219,034
Total Medicare Standard Payment Amount $ 1,012,073
Total Medicare Allowed Payment Amount $ 1,219,034
Total Charge Amount $ 1,920,461

Average Hospice Visit Count


Premium Hospice, Inc. have 1471 skilled nursing visits, 173 social work visits and 1076 Number of home health aide visits provided by the home health agency or hospice.


Beneficiaries by Gender


Premium Hospice, Inc. rendered hospice services to 41% Male and 59% Female Medicare beneficiaries in a Fiscal year.

Beneficiaries by Race


Premium Hospice, Inc. provided hospice care to 58% White, 26% Hispanic, 12% not disclosed Medicare beneficiaries in a Fiscal year.

Medicare/Medicaid Eligible Beneficiaries


At Premium Hospice, Inc., 41% 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 Premium Hospice, Inc., distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 43 of Diseases of the Nervous System, 32 of Diseases of the Circulatory System,

Services Provided:
Services available at Premium Hospice, Inc. 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
CounselingCombination
HomemakerHospice Staff
Medical Social ServicesCombination
Medical Supply ServicesProvided under Arrangement
Nursing ServicesHospice Staff
Occupational TherapyProvided under Arrangement
OtherProvided under Arrangement
Physician ServicesProvided under Arrangement
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 100.094.6
Patients Treated with an Opioid who are Given a Bowel Regimen Not Available93.3
Employee Count:
Premium Hospice, Inc. 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 Aide2.00.0
Counseling1.0 0.0
Homemaker1.00.0
Medical Social Services1.00.0
Registered Nurses4.00.0
Practical/Vocational Nurses2.0 0.0
Other Personnel2.0 4.0
Physician Services2.0 0.0
TOTAL15.04.0
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: Mrs. Annabelle Gatchalian Agulto
Position: Administrator
Contact Number: 562-929-7221
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: 1063712214
NPI Enumeration Date: 21 Oct, 2010
NPI Last Update On: 21 Oct, 2010
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Premium Hospice, Inc. 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: 12241 Firestone Blvd, Suite A & B
Norwalk, California
Zip: 90650-4323
Phone Number: 562-929-7221
Fax Number: 562-929-7224
Patients can reach Premium Hospice, Inc at 12241 Firestone Blvd., Suite A & B, Norwalk, California or can call to book an appointment on (56-2) -929-7221.
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