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Hospice & Home Health Record Maps

agency

EVERGREEN HOSPICE CARE, INC

Cerritos, CA

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CMS quality evidence by agency type

Hospice Care Index (0-10)
10 Source
Visits in last days of life
32 Source
Last-days measure denominator
326 Source
Process composite
97 Source
Process measure denominator
265 Source
Hospice average daily census
90 Source
Care Index period
01/01/2023-12/31/2024 Source

CMS enrollment and reported ownership

Enrolled legal organization
EVERGREEN HOSPICE CARE, INC. Source
Enrolled NPI
1629270699 Source
Organization structure
CORPORATION Source
Incorporation date and state
2004-03-11 (CA) Source
Enrollment proprietary status
Proprietary Source
CMS enrollment records
1 Source
Distinct reported owners
4 Source
Reported owner relationships
11 Source
Owner roles, dates, shares, and classifications
FELICIA CAMPELLONE [Individual; CMS owner ID 2365662905]; role: W-2 MANAGING EMPLOYEE; associated: 2014-08-20; ownership: 2%; PE: not reported; REIT: not reported, JOHN J AHN [Individual; CMS owner ID 9537070107]; role: CORPORATE DIRECTOR; associated: 2004-03-11; ownership: 2%; PE: not reported; REIT: not reported, JOHN J AHN [Individual; CMS owner ID 9537070107]; role: CORPORATE OFFICER; associated: 2004-03-11; ownership: 2%; PE: not reported; REIT: not reported, JOHN J AHN [Individual; CMS owner ID 9537070107]; role: OPERATIONAL/MANAGERIAL CONTROL; associated: 2004-03-11; ownership: 2%; PE: not reported; REIT: not reported, JOHN J AHN [Individual; CMS owner ID 9537070107]; role: W-2 MANAGING EMPLOYEE; associated: 2004-03-11; ownership: 2%; PE: not reported; REIT: not reported, LYDIA Y AHN [Individual; CMS owner ID 446161012]; role: 5% OR GREATER DIRECT OWNERSHIP INTEREST; associated: 2004-03-11; ownership: 100%; PE: not reported; REIT: not reported, LYDIA Y AHN [Individual; CMS owner ID 446161012]; role: CORPORATE DIRECTOR; associated: 2004-03-11; ownership: 98%; PE: not reported; REIT: not reported, LYDIA Y AHN [Individual; CMS owner ID 446161012]; role: CORPORATE OFFICER; associated: 2004-03-11; ownership: 98%; PE: not reported; REIT: not reported, LYDIA Y AHN [Individual; CMS owner ID 446161012]; role: OPERATIONAL/MANAGERIAL CONTROL; associated: 2004-03-11; ownership: 98%; PE: not reported; REIT: not reported, LYDIA Y AHN [Individual; CMS owner ID 446161012]; role: W-2 MANAGING EMPLOYEE; associated: 2004-03-11; ownership: 98%; PE: not reported; REIT: not reported, SOUMITRA SARKAR [Individual; CMS owner ID 6103978432]; role: CONTRACTED MANAGING EMPLOYEE; associated: 2007-11-14; ownership: 0%; PE: not reported; REIT: not reported Source

CMS identity

Agency type
Hospice Source
Ownership type
For-Profit Source
Phone
(562) 865-9006 Source
CMS address
17215 STUDEBAKER ROAD, SUITE 100 Source
ZIP code
90703 Source

Pricing

Published prices

Average submitted charges per hospice service day

$415.31

per hospice service day / provider-submitted charges divided by source utilization for Original Medicare fee-for-service claims

Current source Checked 2026-08-11 / Fiscal year 2024

Includes: CMS final-action Medicare fee-for-service Part A claims included in the PAC public-use file.

Excludes: A patient quote, beneficiary out-of-pocket amount, Medicaid or self-pay services, and current availability.

Calculated from CMS provider totals: 31,533 hospice service days, 301 distinct beneficiaries, $13,096,018 submitted charges, and $6,773,124 Medicare payment. Claims context only; not a provider price or patient cost.

CMS Medicare Post-Acute Care Utilization - Hospice by Geography and Provider source

Average Medicare payment per hospice service day

$214.79

per hospice service day / Medicare payment divided by source utilization for Original Medicare fee-for-service claims

Current source Checked 2026-08-11 / Fiscal year 2024

Includes: CMS final-action Medicare fee-for-service Part A claims included in the PAC public-use file.

Excludes: A patient quote, beneficiary out-of-pocket amount, Medicaid or self-pay services, and current availability.

Calculated from CMS provider totals: 31,533 hospice service days, 301 distinct beneficiaries, $13,096,018 submitted charges, and $6,773,124 Medicare payment. Claims context only; not a provider price or patient cost.

CMS Medicare Post-Acute Care Utilization - Hospice by Geography and Provider source

Market benchmarks

Average Medicare payment per hospice service day

$230.96

per hospice service day / Medicare payment divided by source utilization from CMS geographic totals

CA state benchmark / Hospice / Original Medicare fee-for-service beneficiaries in the CMS PAC public-use file

Current source Effective Fiscal year 2024 / Checked 2026-08-11

Weighted calculation from 18,798,291 hospice service days and 192,492 distinct beneficiaries. Claims context only; not a provider price, patient cost, or quote.

CMS Medicare Post-Acute Care Utilization - Hospice by Geography and Provider source

Average submitted charges per hospice service day

$324.06

per hospice service day / provider-submitted charges divided by source utilization from CMS geographic totals

CA state benchmark / Hospice / Original Medicare fee-for-service beneficiaries in the CMS PAC public-use file

Current source Effective Fiscal year 2024 / Checked 2026-08-11

Weighted calculation from 18,798,291 hospice service days and 192,492 distinct beneficiaries. Claims context only; not a provider price, patient cost, or quote.

CMS Medicare Post-Acute Care Utilization - Hospice by Geography and Provider source

Benchmarks describe the named market, not this provider's quoted price.

Source trail

Research workflow

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