Sea Coast Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SEA COAST HOSPICE CARE INC

Practice address

8380 Miramar Mall
Ste 109
San Diego, CA 92121-2548

Phone

(858) 452-9300

Fax

(858) 452-6300

NPI assigned

Dec 23, 2016

Last updated

Dec 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Elmer Solis

Title

Executive Director

Phone

(858) 452-9300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093250292. Details of each certification follow.

• CCN 921793 Hospice · Active · Details

Hospice certification: CCN 921793

Legal name

SEA COAST HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 11, 2018

Last certification

Sep 11, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

8380 Miramar Mall
Ste 109
San Diego, CA 92121-2549

Listed as

Sea Coast Hospice Care IncCCN 921793 · All quality measures

Ownership

For-Profit

Certified

Sep 11, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Nooshin Bahaie-Khani, M. D., PHD

  • Geriatric Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1265879803

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 3

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

• Nooshin Bahaie-Khani, M. D., PHD

  • Geriatric Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1265879803

  Hospice

  Care Compare affiliation
• Ruth Barber Goodson, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • San Diego, CA
  • NPI 1619466059
  Care Compare affiliation
• Huy Thanh Ho, M.D.

  • Specialist
  • San Diego, CA
  • NPI 1750370458

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1093250292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 MIRAMAR MALL",
            "address_2": "STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212548",
            "telephone_number": "858-452-9300",
            "fax_number": "858-452-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 MIRAMAR MALL",
            "address_2": "STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212548",
            "telephone_number": "858-452-9300",
            "fax_number": "858-452-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA COAST HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-23",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "SOLIS",
        "authorized_official_first_name": "ELMER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "858-452-9300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sea Coast Home Health Care Inc
• Robin R Seaberg, MD
• Katrina Seagrave, M.S.
• Kelsey Seale
• Jennifer Seals, FNP
• Victoria Jean Seamon

• 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 Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.