St Jacob Hospice, Inc



  
17042 Devonshire St Suite 209, Northridge
California, 91325

 818-368-9995   Maps & Directions
St Jacob Hospice, Inc is a hospice care center situated at Northridge, California. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. St Jacob Hospice, Inc accommodated approx. 41 Medicare beneficiaries whose average age was 85 years in CY2016. Unique hospice identification number provided by medicare to this hospice care is 551524. St Jacob 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 St Jacob 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.
St Jacob 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:
Amity Home Health 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) 551524
Hospice’s Ownership Type:For-Profit
Short-term inpatient care provided:Acute & Respite care
Accreditation Joint Commission (JC)
Hospice Address:17042 Devonshire St Suite 209, Northridge,
California, 91325
County:Los Angeles
Phone:818-368-9995
Fax:818-831-8272
CMS Regional Office San Francisco
Medicare Certification:
Medicare certification details of St Jacob Hospice, Inc with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:15 Nov, 2007
Current Status: Active Provider
Latest visit of the Health or LSC survey: 25 May, 2016
Status at the time of certification survey: In Compliance
Waiver of any life safety code: No
Latest Certification Type: Recertification
Certificate Provider: San Francisco CMS Regional Office
MAC National Government Services
CBSA Code 31084 (Urban)
National Hospice Spending and Utilization (2016):
National Hospice Spending and Utilization based on CY2016 for St Jacob 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 41
RHC Days (in %) 99
Average Age of Beneficiary 85 year
Total Medicare Payment Amount $ 776,298
Total Medicare Standard Payment Amount $ 662,060
Total Charge Amount $ 876,872

Average Service Hours per Day

St Jacob Hospice, Inc provided an average of 0.19 hours per day of home health, 0.17 hours per day of Skilled Nursing, 0.05 hours per day of Social Service hospice care.

Average Hospice Care Days

St Jacob Hospice, Inc have Medicare beneficiaries with 7 or fewer hospice care days, 16 Medicare beneficiaries with more than 60 hospice care days, Medicare beneficiaries with more than 180 hospice care days.


Beneficiaries by Gender


St Jacob Hospice, Inc rendered hospice services to 15 Male and 26 Female Medicare beneficiaries in a calendar year.

Beneficiaries by Race


St Jacob Hospice, Inc provided hospice care to 31 White, 10 not disclosed Medicare beneficiaries in a calendar year.



Beneficiaries with Primary Disease Diagnosis

At St Jacob Hospice, Inc, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 12 of Heart Disease,

Site-of-service Hospice Beneficiaries

At St Jacob Hospice, Inc, distinct Medicare beneficiaries who received the majority of their hospice care days are 34 at home,

Services Provided:
Services available at St Jacob 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
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 ServicesHospice Staff

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) 82.593.6
Pain Screening 87.593.9
Pain Assessment Not Available77.7
Dyspnea Screening 100.097.3
Dyspnea Treatment Not Available94.6
Patients Treated with an Opioid who are Given a Bowel Regimen Not Available93.3
Employee Count:
St Jacob 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 Aide10
Counseling1 0
Homemaker02
Medical Social Services10
Registered Nurses40
Practical/Vocational Nurses1 0
Other Personnel0 2
Physician Services1 0
TOTAL94
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. Edna P Cabanban
Position: Administrator
Contact Number: 818-831-8270
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: 1114920931
NPI Enumeration Date: 24 May, 2005
NPI Last Update On: 09 Jul, 2007
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for St Jacob Hospice, Inc are as mentioned below.
SpecializationLicense NumberStateStatus
Home Health CaliforniaPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the hospice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
HHA08268FMedicaidCalifornia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 17042 Devonshire St, Ste 220
Northridge, California
Zip: 91325-1679
Phone Number: 818-831-8270
Fax Number: 818-831-8272
Patients can reach Amity Home Health Inc at 17042 Devonshire St Suite 209, Northridge, California or can call to book an appointment on 818-368-9995.

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