Premium One Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PREMIUM ONE HOSPICE, INC.

Practice address

9265 Dowdy Dr Ste 210
San Diego, CA 92126-6375

Phone

(858) 210-6229

NPI assigned

Jul 3, 2021

Organization subpart

No

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

Authorized official

Name

Christopher Silva

Title

Ceo/President

Phone

(858) 210-6229

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1625270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625270400000",
    "number": "1043881774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9265 DOWDY DR STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266375",
            "telephone_number": "858-210-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9265 DOWDY DR STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266375",
            "telephone_number": "858-210-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM ONE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-03",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-03",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "858-210-6229"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "premiumonehospice@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "coordination of care",
            "address_1": "9265 Dowdy Dr Ste 210",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921266375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Premise Health of California Medical, P.C
• Premise Health of California Medical, P.C.
• Sarah Premo
• Mary Beth Prendergast, RN, PHN, MN
• Bruce M Prenner, MD
• Colleen Sue Prentice, LCSW
• Jan Frazier Prentice, PA-C

• Community Based Hospice Care Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.