Providence Hospice Inc



  
440 N Mountain Ave, Suite 201g, Upland
California, 91786

 (90-9) -326-6010   Maps & Directions
Providence Hospice Inc is a hospice care center situated at Upland, California. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Providence Hospice Inc accommodated approx. 22 Medicare beneficiaries whose average age was 82 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is A11578. Providence 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 Providence 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.
Providence 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:
Providence 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) A11578
Hospice’s Ownership Type:For-Profit
Accreditation UnAccredited
Hospice Address:440 N Mountain Ave, Suite 201g, Upland,
California, 91786
County:San Bernardino
Phone:(90-9) -326-6010
Fax:909-326-6011
CMS Regional Office San Francisco
Medicare Certification:
Medicare certification details of Providence Hospice Inc with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:10 Feb, 2021
Certificate Provider: CMS Regional Office
National Hospice Spending and Utilization (2022):
National Hospice Spending and Utilization based on FY 2022 for Providence 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 22
RHC Days (in %) 99
Episode or Stay Count 23
Total Nursing Minutes 21630 Minutes (360.5 Hours)
Days of Service 1,918
Average Age of Beneficiary 82 year
Average Risk Score of Beneficiaries 2.54
Total Medicare Payment Amount $ 407,137
Total Medicare Standard Payment Amount $ 347,200
Total Medicare Allowed Payment Amount $ 407,137
Total Charge Amount $ 482,750

Average Hospice Visit Count


Providence Hospice Inc have 194 skilled nursing visits, social work visits and 257 Number of home health aide visits provided by the home health agency or hospice.


Beneficiaries by Gender


Providence Hospice Inc rendered hospice services to 50% Male and 50% Female Medicare beneficiaries in a Fiscal year.

Beneficiaries by Race


Providence Hospice Inc provided hospice care to 50% White, 11% not disclosed Medicare beneficiaries in a Fiscal year.



Beneficiaries with Primary Disease Diagnosis

At Providence Hospice Inc, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 48 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 NameScore (in %)National Average
Treatment Preferences Not Available98.3
Beliefs/Values Addressed (if desired by the patient) Not Available93.6
Pain Screening Not Available93.9
Pain Assessment Not Available77.7
Dyspnea Screening Not Available97.3
Dyspnea Treatment Not Available94.6
Patients Treated with an Opioid who are Given a Bowel Regimen Not Available93.3
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. Yossi Goldman
Position: Ceo/ President
Contact Number: 909-326-6010
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: 1225586951
NPI Enumeration Date: 12 Sep, 2016
NPI Last Update On: 02 Mar, 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 Providence Hospice Inc are as mentioned below.
SpecializationLicense NumberStateStatus
Hospice Care, Community Based C3926029CaliforniaPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 440 N Mountain Ave Ste 201g,
Upland, California
Zip: 91786-5183
Phone Number: 909-326-6010
Fax Number: 909-326-6011
Patients can reach Providence Hospice Inc at 440 N Mountain Ave, Suite 201g, Upland, California or can call to book an appointment on (90-9) -326-6010.
Comments/Reviews:

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