ETERNALLY YOURS HOSPICE, INC.
NPI 1972831162
Hospice Care, Community Based in West Covina, CA

NPI Status: Active since November 26, 2009

Contact Information

2550 E. AMAR RD.
UNIT A1-G
WEST COVINA, CA
ZIP 91792
Phone: (626) 965-4200
Fax: (626) 965-4200

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 05D2077748
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 05-13-2026

About ETERNALLY YOURS HOSPICE, INC.

This page provides the complete NPI Profile along with additional information for Eternally Yours Hospice, Inc., a provider established in West Covina, California operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1972831162 assigned on November 2009. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mrs. Cristine S Zapanta-chavez (Owner/president)

NPI
1972831162
Provider Name
ETERNALLY YOURS HOSPICE, INC.
Entity Type
Organization
Location Address
2550 E. AMAR RD. UNIT A1-G WEST COVINA, CA 91792
Location Phone
(626) 965-4200
Location Fax
(626) 965-4200
Mailing Address
2550 E. AMAR RD. UNIT A1-G WEST COVINA, CA 91792
Mailing Phone
(626) 965-4200
Mailing Fax
(626) 965-4200
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-26-2009
Last Update Date
01-27-2014
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According to the Hospice Quality Reporting Program (HQRP) data this facility is for-profit and was certified on 12-20-2014 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. CRISTINE S ZAPANTA-CHAVEZ

Authorized Official Title
OWNER/PRESIDENT
Authorized Official Phone
(818) 223-9283

Hospice Care Information

The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.

CMS Certification Number (CCN)751657
Ownership TypeFor-Profit
Medicare Certification Date12-20-2014
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
4.0
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Home
Percentage of days patients received care in home
100
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in All other locations
Percentage of days patients received care in other locations
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Hospice and Palliative Care Treatment Preferences
Facility observed rate
Not Available - The number of patient stays is too small to report (less than 20 patient stays).
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
Not Available - The number of patient stays is too small to report (less than 20 patient stays).
Hospice and Palliative Care Pain Screening
Facility observed rate
Not Available - The number of patient stays is too small to report (less than 20 patient stays).
Hospice and Palliative Care Pain Assessment
Facility observed rate
Not Available - The number of patient stays is too small to report (less than 20 patient stays).
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
Not Available - The number of patient stays is too small to report (less than 20 patient stays).
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
Not Available - The number of patient stays is too small to report (less than 20 patient stays).
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
Not Available - The number of patient stays is too small to report (less than 20 patient stays).
Hospice and Palliative Care Composite Process Measure
Facility observed rate
Not Available - The number of patient stays is too small to report (less than 20 patient stays).
Hospice Visits in the Last Days of Life
Not Available - The number of patient stays is too small to report (less than 20 patient stays).
Hospice Visits in the Last Days of Life
Facility observed rate
Not Available - The number of patient stays is too small to report (less than 20 patient stays).
Hospice Care Index Overall Score
Facility observed rate
7.0
CHC/GIP provided (% days)
2,976
CHC/GIP provided (% days)
Facility observed rate
1.4
CHC/GIP provided (% days)
91
Gaps in nursing visits (% elections)
13
Gaps in nursing visits (% elections)
Facility observed rate
30.8
Gaps in nursing visits (% elections)
20
Early live discharges (% live discharges)
10
Early live discharges (% live discharges)
Facility observed rate
10.0
Early live discharges (% live discharges)
77
Late live discharges (% live discharges)
10
Late live discharges (% live discharges)
Facility observed rate
60.0
Late live discharges (% live discharges)
91
Burdensome transitions, Type 1(% live discharges)
10
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
0.0
Burdensome transitions, Type 1 (% live discharges)
19
Burdensome transitions, Type 2(% live discharges)
10
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
0.0
Burdensome transitions, Type 2 (% live discharges)
43
Per-beneficiary spending (U.S. dollars $)
24
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
28,622
Per-beneficiary spending (U.S. dollars $)
93
Nurse care minutes per routine home care days (minutes)
2,933
Nurse care minutes per routine home care days (minutes)
Facility observed rate
10.6
Nurse care minutes per routine home care days (minutes)
31
Skilled nursing minutes on weekends (% minutes)
31,020
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
87.6
Skilled nursing minutes on weekends (% minutes)
100
Visits near death (% decedents)
11
Visits near death (% decedents)
Facility observed rate
27.3
Visits near death (% decedents)
2
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
Not Available - Number of patients is too small to report.
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
Not Available - Number of patients is too small to report.
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
Not Available - Number of patients is too small to report.
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Yes
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
No

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2077748
Facility Type
Hospice
Certificate Effective Date
May 14, 2024
Certificate Expiration Date
May 13, 2026
Laboratory Director
ROBERT LADINES, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eternally Yours Hospice, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1972831162
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291421632112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 1 + 6 + 3 + 2 + 1 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1972831162 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972831162, enumerated in the NPI registry as an "organization" on November 26, 2009

The provider is located at 2550 E. Amar Rd. Unit A1-g West Covina, Ca 91792 and the phone number is (626) 965-4200

This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X

The provider's CLIA number is 05D2077748 for a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 26, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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