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Hospice, Palliative & Home Health Care In Southern California | Acacia Hospice & Palliative Services

Compassionate hospice, palliative, & home health care across Orange County, Riverside, San Bernardino, Los Angeles, & nearby areas. Call (800) 993-9391 today.

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About Acacia

Caring for someone at home should feel clear, steady, and human. At Acacia, your goals lead the plan while our physician-guided team brings practical help, symptom relief, and honest guidance. We provide Home Health, Palliative Care, and Hospice Care across Southern California with one promise at the center: patient first care guided by honesty and transparency and delivered with an Acacia Heart. We focus on what matters today and coordinate the next right step so comfort and confidence grow with every visit.

We partner with your physicians, tailor services to your goals, and make things happen so relief does not wait. From the first call to the final visit, you can expect clear communication, practical help at home, and steady guidance for the people you love.

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Who We Are

Acacia is a physician-led, interdisciplinary team of nurses, therapists, social workers, chaplains, aides, and care coordinators. We bring skilled clinical care and everyday support to the place you call home, or to a facility when needed. Our approach is coordinated, respectful, and results oriented so you feel safer, better informed, and more in control.


Meet the Executives


"A Word From our CEO"

"For more than 15 years, Acacia Health has been a trusted and respected name in home health, hospice, and palliative care. Our consecutive 5-Star Medicare ratings and strong partnerships with leading hospitals across Los Angeles, Orange County, and beyond demonstrate our unwavering commitment to quality and innovation.

We believe that exceptional care starts with exceptional people. That’s why we invest in our team, creating a culture where happy, empowered employees deliver outstanding results and patient satisfaction. Our recognition as a Great Place to Work year after year is proof that when we care for our people, they care better for yours.

At Acacia, we lead with compassion and a patient-first mindset. Guided by servant leadership, we listen, adapt, and continuously raise the bar to meet the needs of patients, families, and communities. With multiple service lines and fully customized care plans, we ensure every patient receives the care they deserve.

You have many choices, but there is only one Acacia: where heart, integrity, and innovation come together to make a difference."


- Alex Agazaryan

Alex Agazaryan

CEO & Founder

Douglas B. Cannon

Chief Financial Officer

Joseph Allen

Chief Operating Officer

Daniel Repchian, JD

Chief Compliance Officer

Alex Agazaryan founded Acacia Health to deliver exceptional home health, hospice, and palliative care across Southern California. After earning his Biology degree from California State University, Northridge, Alex launched Acacia Home Health in 2010 with a single referral. His hands-on leadership and commitment to quality earned consistent 5-star Medicare ratings and partnerships with leading hospitals and skilled nursing facilities.

Under his guidance, Acacia expanded into hospice and palliative care, achieving top national ratings and Joint Commission accreditation. During the COVID-19 pandemic, Acacia partnered with UCI Medical Center on its innovative Hospital at Home model, becoming the only standalone home health agency in California to reach this milestone. Today, Alex focuses on strategic growth, culture, and innovation, integrating remote monitoring and AI-powered tools while anchoring Acacia’s values in compassion, teamwork, integrity, growth, and action. With over 200 professionals, Acacia continues to set the standard for high-acuity, patient-centered care.

Douglas “Doug” Cannon is a seasoned healthcare finance executive with over 20 years of experience guiding multi-site and specialty healthcare organizations. His expertise spans hospice and palliative care, home health, dermatology, and vision care, with a proven track record of building strong financial infrastructures and driving strategic growth.

As CFO of Acacia Health, Doug oversees all financial operations and leads mergers and acquisitions from initial evaluation through integration. His disciplined fiscal management and strategic foresight have been instrumental in strengthening Acacia’s financial position and supporting its expansion.

Based in Southern California and an alumnus of Southern Methodist University, Doug remains committed to advancing the financial health of organizations that care for people across all stages of life.

Joseph Allen is a seasoned healthcare executive with over 25 years of leadership experience, including 13 years in home-based care. A Southern California native and UC Riverside graduate, he previously served as Murrieta’s youngest Transportation and Traffic Commissioner and as a Reserve Intelligence Officer in the U.S. Navy following 9/11.

As COO of Acacia Health, Joseph drives operational strategy and growth across Southern California, guided by Acacia’s core values: compassion, integrity, teamwork, growth, and action. His commitment to scalable, ethical, and patient-centered care continues to shape Acacia’s success.

Daniel Repchian brings over five years of specialized experience in hospice, home health, and palliative care compliance. With a strong legal foundation, he leads Acacia Health’s compliance program, regulatory affairs, human resources, contracts, and quality assurance initiatives ensuring every process meets or exceeds federal and state standards while fostering a culture of ethics and patient-centered care.

Daniel began his career in elder law and healthcare litigation, advocating for vulnerable populations. He holds a Juris Doctor from Southwestern Law School and a BA in Philosophy and Law & Society from UC Riverside, where he earned academic honors and leadership roles. A Southern California native, Daniel remains active in his community and enjoys time with his wife, two children, and extended family.

Our Mission, Vision, And Core Values

Mission

“Providing superior quality services to patients and the ultimate support to family members through the transitions of healthcare. Acacia’s team members are passionate about taking a patient-first approach every time. Our interdisciplinary teams take great pride in preventing re-institutionalization while keeping patients comfortable in their home settings. Our strong leaders also take a patient-centered approach with community partners & hospitals to achieve one common goal – ‘Excellent Patient Care’.”


How We Work (Our Core Values)
Patient First

Your goals and values guide every plan.

Acacia Heart

Compassion you can feel in every interaction.

Honesty & Transparency

Clear explanations and plain-language guidance.

Make Things Happen

Fast responses, practical solutions, and timely follow-through.

Results Oriented

Measurable comfort, safety, and quality outcomes.

In This Together

Teamwork with your loved ones, clinicians, and community partners.


What Families Can Expect

  • Clear Communication: Plain-language explanations, visit summaries, and direct numbers for 24-hour clinical phone support.
  • Fast Coordination: Same-day requests whenever possible for medications, equipment, and schedule changes.
  • Caregiver Teaching: Short, practical lessons that make daily care safer and more manageable.
  • Respect & Privacy: Care that honors your culture, beliefs, and choices.

How We Select And Train Our Team

Families feel the difference because of who we hire. We look for people who live our core values every day Patient First, Acacia Heart, Honesty and Transparency, Make Things Happen, Results Oriented, In This Together and we provide structured onboarding, skills validation, and ongoing education in symptom management, safety, cultural humility, and communication.

How We Care

  • Physician-Led, Team-Based Care – A medical director oversees your plan of care with regular case reviews. Nurses manage pain and symptoms, therapists build strength and safety, social workers solve practical problems, chaplains honor beliefs, and aides support daily routines.
  • Clear Communication – You receive direct numbers for 24-hour clinical phone support, visit summaries, and easy next steps so everyone stays aligned.
  • Equipment, Medications, And Supplies – When covered, we arrange authorizations and delivery and then teach safe use at home.
  • Care That Meets You Where You Are – Services are available at home, in assisted living, in skilled nursing facilities, and in hospitals in coordination with your physicians.

Leadership & Clinical Oversight

Our Hospice Medical Director and clinical leaders guide care planning, review cases, and coordinate with your attending physicians. This physician oversight keeps decisions timely, aligns treatments with your goals, and supports smooth transitions between services.

Quality You Can Feel

Families choose Acacia for clinical excellence paired with genuine kindness. You will notice skilled symptom control, practical caregiver teaching, proactive prevention of avoidable hospital trips when possible, and a respectful presence that keeps daily life calmer and safer.

Service Areas

We care for families across Orange County, Riverside County, San Bernardino County, and Los Angeles County, including Irvine, Anaheim, Santa Ana, Riverside, San Bernardino, Los Angeles, and nearby areas.

Locations:

Irvine Office:

17780 Fitch #201,

Irvine, CA 92614

Phone:

(800) 993-9391

Palm Desert Office:

75108 Gerald Ford Dr #3,

Palm Desert, CA 92211

Phone:

(800) 993-9391


Join Our Team Of Volunteers

Acacia volunteers range from age 16 to 70+, come from all walks of life, and visit as close to home as they like. Many tell us it was easier to start than they expected and deeply fulfilling. If you have wanted to volunteer but never found the time, consider starting now every visit makes a real difference.

Learn more

Care Across The Continuum

Home Health Care

For skilled nursing and rehabilitation after illness, injury, or surgery.

Get Support

Palliative Care

For advanced symptom relief and guidance while you continue treatment.

Find Relief

Hospice Care

For comfort-focused support during the last phase of life.

Find Comfort

Explore services »

Speak With Our Care Team

Call (800) 993-9391. Ask how Home Health, Palliative Care, or Hospice Care can support your goals today.

Request Care Online

See What Our Patients and Families Are Saying About Us!

Great
Acacia Hospice & Palliative Services4.1
Based on 21 reviews
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Diana C.
I would recommend Acacia Hospic they help me and my family with my father. They were very professional caring thank you Diana Canary
Jeanette W.
Acacia provided excellent hospice care for an elderly friend. The nurses and support personnel were attentive to both patient and family/friends. They are professional, caring, respectful, and listened well to our questions and concerns. Acacia also coordinated seamlessly with the skilled nursing staff. Thank you!
Carol R.
Tania G.
Acacia Hospice provided truly amazing care for my grandmother and our family. The entire team was always there when we needed them, showing so much compassion and support. A special thank you to her RN Yesenia, who went above and beyond in every way. She became like family to us, and my grandmother truly loved her. Thank you as well to her LVN Melina and Nurse Martha for also going above and beyond with taking such good care of her. My grandmother passed on May 29, 2026, and we will forever be grateful for the love and care they gave her during such a difficult time.
Sheila H.
My family had such a wonderful experience with Acacia Home Health for the last few years as my mother who is 93 has been on palliative care for advanced pulmonary hypertension and COPD. Acacia has sent us a variety of fantastic nurses, physical therapists, social workers and specialists for respiratory and wound care. Acacia arranged for us to have x-rays, blood draws and outstanding urgent care at our home. We have been able to call them at any hour for advice. Their case managers and management are absolutely wonderful. We have experienced that they are very caring and they always treat my mother and me (the caregiver) as very important. They have helped us to get all of the equipment that mom needs. They answer all of our questions (sometimes doing research to find answers for us) on a variety of topics. We will be forever grateful to Acacia and their wonderful employees!
Faith N.
My mom was a patient on service. She passed in January 2023. The Hospice and Palliative teams went above and beyond. They were an excellent resource to our family. I reside on the East and had to communicate via phone and text while I went back and forth. Toward the end I had comfort in knowing she had a great team at her side. Thank you.
Senior P.
Acacia Hospice has been a great partner for our company over the years helping families and providing care and assistance at a moments notice. The staff is always available, warm, knowledgable and friendly. They perform calm and detail oriented in high pressure and often emotional settings. if your loved family member needs this service Acacia is the way to go.
Greg F.
Manuela is a kind hearted person that knows how to work with women that have dimensia. She persists through the scratching, and other unpleasant rantings that can accompany these types of patients. She is truly a blessing! To not mention how good the others who have come to my house and help me with my wife is a mistake. Sheryl the nurse practitioner and Mark the physical therapist were also excellent!
Fern T.
Acacia's people have made taking care of my aging parent so much easier and less stressful. They are well-trained and professional, and I am very thankful for their support.
Steve K.
Acacia Hospice has been a life saver for my mom. Having mom with late stage severe dementia has been most difficult on all of our family members but especially hard on my 86 years old father. Thank You Acacia Hospice !!! Words can describe the how grateful we are with the nurses and caregivers that we have from Acacia Hospice Care. You guys are the reason why we are able have my mom at home. Thank You 🙏. God bless you guys.
Miranda M.
It goes without saying that if you need Acacia Hospice you are experiencing a challenging phase of life. However, Acacia has done all they can to make the experience easier on my family. We have appreciated and found comfort in all of the nurses, have been educated and supported by them as well. If we need medical equipment we get it promptly with no issues. We did not know anything about hospice care before recently, and we are so glad to know Acacia is there for people in these tough spots.
Sherri F.
Acacia provided nursing care for my mom in 2019 when she was ill, and we were so pleased with the care she received that we reached out to Acacia in 2020 when my mom now needed Hospice services, and we are so grateful for all that Acacia did for my mom prior to her passing. All of the staff members at Acacia were wonderful and caring, and we were especially fond of Rosemary, who provided such loving nursing care for my mom. The staff members at Acacia were readily available and extremely responsive to all of our requests for supplies, medication and more. We would highly recommend both Acacia's Home Healthcare Services as well as their Hospice Services. Thank you again for taking such loving care of my mother.
Cynthia M.
I knew I was in excellent hands when I met & discussed my 81-yr-old "sweetheart's" care, Victor, with Peter. After 3 other experiences in prior hospices compared to working with Acacia, I was so assured by Peter's solid knowledge of the industry, various options of care provided at Acacia & his knowledge about other facilities. He answered each need we had with the highest professionalism and integrity. Peter & the entire Acacia team facilitated what would be a difficult transition for Victor. Acacia outshines them all in responsiveness to patients' needs, always treating the patient with dignity and humanity while securing resources to suit patient. I experienced their quality level of care while being Victor's caregiver. Acacia works in the interest of the patient & deferred admitting Victor to Acacia at a time when he was so ill that former hospice MD predicted certain death. Victor lived & I immediately admitted him to Acacia which was a very smooth transition, compared to others previously. I am so grateful for the social worker's, at Alzheimer's Family Center, referral to Acacia, who recommended Acacia as being the best hospice facility in O.C. I couldn't agree more! Any caregiver/family member won't regret their choice of Acacia!
Darcy R.
Acacia Hospice has been a life saver for us! We were unfamiliar with everything hospice offers but Peter quickly educated us. After our first phone call he responded immediately and had a medical bed delivered to us within hours of first speaking to him. Additionally, he arranged for our loved one to be brought home from the hospital in an ambulance the next day and had a nurse waiting when she arrived home. I’ve never seen such quick response time! The nurse, Jennifer, has been incredible getting all the meds coordinated and educating the caregivers on how to manage everything. I would highly recommend Acacia after our wonderful experience with them! Having such friendly and helpful people has been a true blessing during this difficult time.
P. S.
My 94 year old mother reached a point in her life when she needed hospice care. Carmel Village in Fountain Valley recommended Acacia Hospice. Right away I knew we had made the right choice. Peter Martinez was our representative and he made all the arrangements for care and equipment. He communicated each step being taken and always followed up. He and his team were always available to answer questions and offer support. Acacia Hospice is the finest choice for hospice care and I highly recommend them.
John F.
Acacia took wonderful care of my mother, and our family is truly grateful. Their nurses showed real professionalism and understanding, always taking the time to listen and adjust to what she needed. The administrative team was just as strong—organized, patient, and easy to reach whenever we had questions. It’s never easy navigating hospice care, but Acacia made the experience far less stressful and gave us confidence that she was in good hands.
Diana C.
I would recommend Acacia Hospic they help me and my family with my father. They were very professional caring thank you Diana Canary
Jeanette W.
Acacia provided excellent hospice care for an elderly friend. The nurses and support personnel were attentive to both patient and family/friends. They are professional, caring, respectful, and listened well to our questions and concerns. Acacia also coordinated seamlessly with the skilled nursing staff. Thank you!
Carol R.
Tania G.
Acacia Hospice provided truly amazing care for my grandmother and our family. The entire team was always there when we needed them, showing so much compassion and support. A special thank you to her RN Yesenia, who went above and beyond in every way. She became like family to us, and my grandmother truly loved her. Thank you as well to her LVN Melina and Nurse Martha for also going above and beyond with taking such good care of her. My grandmother passed on May 29, 2026, and we will forever be grateful for the love and care they gave her during such a difficult time.
Sheila H.
My family had such a wonderful experience with Acacia Home Health for the last few years as my mother who is 93 has been on palliative care for advanced pulmonary hypertension and COPD. Acacia has sent us a variety of fantastic nurses, physical therapists, social workers and specialists for respiratory and wound care. Acacia arranged for us to have x-rays, blood draws and outstanding urgent care at our home. We have been able to call them at any hour for advice. Their case managers and management are absolutely wonderful. We have experienced that they are very caring and they always treat my mother and me (the caregiver) as very important. They have helped us to get all of the equipment that mom needs. They answer all of our questions (sometimes doing research to find answers for us) on a variety of topics. We will be forever grateful to Acacia and their wonderful employees!
Faith N.
My mom was a patient on service. She passed in January 2023. The Hospice and Palliative teams went above and beyond. They were an excellent resource to our family. I reside on the East and had to communicate via phone and text while I went back and forth. Toward the end I had comfort in knowing she had a great team at her side. Thank you.
Senior P.
Acacia Hospice has been a great partner for our company over the years helping families and providing care and assistance at a moments notice. The staff is always available, warm, knowledgable and friendly. They perform calm and detail oriented in high pressure and often emotional settings. if your loved family member needs this service Acacia is the way to go.
Greg F.
Manuela is a kind hearted person that knows how to work with women that have dimensia. She persists through the scratching, and other unpleasant rantings that can accompany these types of patients. She is truly a blessing! To not mention how good the others who have come to my house and help me with my wife is a mistake. Sheryl the nurse practitioner and Mark the physical therapist were also excellent!
Fern T.
Acacia's people have made taking care of my aging parent so much easier and less stressful. They are well-trained and professional, and I am very thankful for their support.
Steve K.
Acacia Hospice has been a life saver for my mom. Having mom with late stage severe dementia has been most difficult on all of our family members but especially hard on my 86 years old father. Thank You Acacia Hospice !!! Words can describe the how grateful we are with the nurses and caregivers that we have from Acacia Hospice Care. You guys are the reason why we are able have my mom at home. Thank You 🙏. God bless you guys.
Miranda M.
It goes without saying that if you need Acacia Hospice you are experiencing a challenging phase of life. However, Acacia has done all they can to make the experience easier on my family. We have appreciated and found comfort in all of the nurses, have been educated and supported by them as well. If we need medical equipment we get it promptly with no issues. We did not know anything about hospice care before recently, and we are so glad to know Acacia is there for people in these tough spots.
Sherri F.
Acacia provided nursing care for my mom in 2019 when she was ill, and we were so pleased with the care she received that we reached out to Acacia in 2020 when my mom now needed Hospice services, and we are so grateful for all that Acacia did for my mom prior to her passing. All of the staff members at Acacia were wonderful and caring, and we were especially fond of Rosemary, who provided such loving nursing care for my mom. The staff members at Acacia were readily available and extremely responsive to all of our requests for supplies, medication and more. We would highly recommend both Acacia's Home Healthcare Services as well as their Hospice Services. Thank you again for taking such loving care of my mother.
Cynthia M.
I knew I was in excellent hands when I met & discussed my 81-yr-old "sweetheart's" care, Victor, with Peter. After 3 other experiences in prior hospices compared to working with Acacia, I was so assured by Peter's solid knowledge of the industry, various options of care provided at Acacia & his knowledge about other facilities. He answered each need we had with the highest professionalism and integrity. Peter & the entire Acacia team facilitated what would be a difficult transition for Victor. Acacia outshines them all in responsiveness to patients' needs, always treating the patient with dignity and humanity while securing resources to suit patient. I experienced their quality level of care while being Victor's caregiver. Acacia works in the interest of the patient & deferred admitting Victor to Acacia at a time when he was so ill that former hospice MD predicted certain death. Victor lived & I immediately admitted him to Acacia which was a very smooth transition, compared to others previously. I am so grateful for the social worker's, at Alzheimer's Family Center, referral to Acacia, who recommended Acacia as being the best hospice facility in O.C. I couldn't agree more! Any caregiver/family member won't regret their choice of Acacia!
Darcy R.
Acacia Hospice has been a life saver for us! We were unfamiliar with everything hospice offers but Peter quickly educated us. After our first phone call he responded immediately and had a medical bed delivered to us within hours of first speaking to him. Additionally, he arranged for our loved one to be brought home from the hospital in an ambulance the next day and had a nurse waiting when she arrived home. I’ve never seen such quick response time! The nurse, Jennifer, has been incredible getting all the meds coordinated and educating the caregivers on how to manage everything. I would highly recommend Acacia after our wonderful experience with them! Having such friendly and helpful people has been a true blessing during this difficult time.
P. S.
My 94 year old mother reached a point in her life when she needed hospice care. Carmel Village in Fountain Valley recommended Acacia Hospice. Right away I knew we had made the right choice. Peter Martinez was our representative and he made all the arrangements for care and equipment. He communicated each step being taken and always followed up. He and his team were always available to answer questions and offer support. Acacia Hospice is the finest choice for hospice care and I highly recommend them.