Organization Active NPI

Art of Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • San Diego, CA
National Provider Identifier
1043639107
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ART OF HOSPICE CARE, INC.
Practice address
7710 Balboa Ave Ste 329
San Diego, CA 92111
Phone
(619) 756-7096
Fax
(619) 487-0218
NPI assigned
Apr 15, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lorelie a Antonio
Title
Administrator
Phone
(562) 599-9132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X CA Primary

Addresses

Primary practice location

7710 Balboa Ave Ste 329
San Diego, CA 92111

Mailing address

7710 Balboa Ave Ste 329
San Diego, CA 92111-2269
Phone (619) 756-7096

Other names 1

  • Southcoast Hospice Care, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140507000980 CA Part A Provider - Hospice 0749413276 Practice locations: San Diego, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043639107. Details of each certification follow.

Hospice certification: CCN 751634

Legal name
ART OF HOSPICE CARE, INC.
Certification status
Terminated Voluntary: merger or closure, May 1, 2026
Provider type (POS)
Hospice
Participating since
Jul 1, 2015
Last certification
Jun 14, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 16, 2014 in CA
Enrollment address
7710 Balboa Ave
Ste 329
San Diego, CA 92111-2269

Care Compare: Hospice

Medicare Care Compare
Listed as
Art of Hospice Care, IncCCN 751634 · All quality measures
Ownership
For-Profit
Certified
Jul 1, 2015
Medicare certification status
Terminated Voluntary: merger or closure, May 1, 2026From the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2667 Camino del Rio S
Ste 2133
San Diego, CA 92108
Phone (800) 409-9418

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lorelie Ann D Antonio Individual 5% Or Greater Direct Ownership Interest Apr 1, 2014 100%
Corporate OfficerBoard Member Apr 1, 2014 50%
Operational/Managerial ControlBoard Member Administrator Apr 1, 2014 100%
Divina D Russell Individual Corporate OfficerBoard Member Director of Patient Apr 1, 2014 50%
Corporate DirectorBoard Member Director of Patient Apr 1, 2014 100%
W-2 Managing EmployeeDPCS Apr 1, 2014 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043639107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 BALBOA AVE STE 329",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112269",
            "telephone_number": "619-756-7096",
            "fax_number": "619-487-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 BALBOA AVE STE 329",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92111",
            "telephone_number": "619-756-7096",
            "fax_number": "619-487-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ART OF HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ANTONIO",
        "authorized_official_first_name": "LORELIE A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-599-9132"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southcoast Hospice Care, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.