Hospice · LA County
PREMIUM HOSPICE, INC.
12241 FIRESTONE BLVD, SUITE A AND B, Norwalk, CA 90650
What the official records show
Found: State license
Listed in CDPH's licensed-facility file dated 09/16/2026 with license status ACTIVE, first licensed 10/05/2011. License no. 550001761.
Found: Medicare
Listed in Medicare's Care Compare hospice file (updated 08/19/2026) under CMS Certification Number 551659, certification date 06/29/2012.
Note: Years licensed
14 years as of 09/16/2026 (first state license 10/05/2011).
Note: Same building
No other hospice in our LA County list gives this street address.
Note: State penalties
No state penalties on record for this facility in CDPH's archived enforcement file (1998–2024). Newer actions are not in that file.
Note: Federal exclusion list
No exact name match on HHS-OIG's exclusion list (file dated 09/10/2026) for the facility, licensee or administrator names in these records.
Source: U.S. Department of Health & Human Services, Office of Inspector General (HHS-OIG) ↗
State record details (CDPH, 09/16/2026)
- Licensee
- PREMIUM HOSPICE, INC.
- Entity type
- PROFIT CORP
- License number
- 550001761
- Licensed / certified
- LICENSED AND CERTIFIED
- Initial license date
- 10/05/2011
- License expiration date
- 11/04/2027
- Administrator (as listed)
- AGULTO-MAN, MADELENE
- CDPH facility ID
- 630013114
Medicare record and quality scores (CMS, 08/19/2026)
- CMS Certification Number
- 551659
- Ownership type
- For-Profit
- Certification date
- 06/29/2012
| Measure | Score | Period |
|---|---|---|
| Hospice Care Index (0–10, higher is better) | 9 of 10 | 01/01/2023 - 12/31/2024 |
| Comprehensive assessment at admission (composite) | 100% | 10/01/2024 - 09/30/2025 |
| Visits in the last days of life | 26.4% | 01/01/2023 - 12/31/2024 |
| Average daily patients | 18 | 01/01/2024 - 12/31/2024 |
Before you choose a hospice
- How to check a hospice yourself — the questions to ask and the official lookups, step by step.
- Something feels wrong — pressure to sign, gifts or cash offers, a “free” service that needs a Medicare number? Where to report it.
Sources
- California Department of Public Health (CDPH) — Licensed and Certified Healthcare Facility Listing ↗ (file dated 09/16/2026)
- Centers for Medicare & Medicaid Services (CMS) — Hospice — General Information (Care Compare) ↗ (dataset updated 08/19/2026)
- Centers for Medicare & Medicaid Services (CMS) — Hospice — Provider Data (quality measures) ↗ (dataset updated 08/07/2026)
- Centers for Medicare & Medicaid Services (CMS) — Hospice care — Provider CAHPS Hospice Survey Data ↗ (dataset updated 08/07/2026)
- California Department of Public Health (CDPH) — Health Facilities State Enforcement Actions (archived data file) ↗ (archive file dated 08/27/2024) Archived file covering penalties issued 1998–2024. Newer actions are not in this file.
- U.S. Department of Health & Human Services, Office of Inspector General (HHS-OIG) — List of Excluded Individuals/Entities (LEIE) — downloadable file ↗ (file dated 09/10/2026)
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