Organization Active NPI

Horizon Hospice, Inc

  • Community Based Hospice Care Agency
  • San Diego, CA
National Provider Identifier
1104818046
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
080000524 Issued in CA
Legal business name
HORIZON HOSPICE, INC
Doing business as
Scripps Hospice
Practice address
4311 3Rd Ave
Suite C
San Diego, CA 92103-1407
Phone
(619) 452-7050
NPI assigned
Aug 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Mr. Richard K. Rothberger
Title
Executive VP/Cfo
Phone
(858) 678-6919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 080000524 CA Primary

Addresses

Primary practice location

4311 3Rd Ave
Suite C
San Diego, CA 92103-1407

Mailing address

4311 3Rd Ave
Suite C
San Diego, CA 92103-1407
Phone (619) 452-7050

Other identifiers 1

IdentifierTypeStateIssuer
HPC01505FMedicaidCA

Other names 1

  • Scripps Hospice Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

13053 Poway Rd
Poway, CA 92064
Phone (858) 748-3030

4311 3rd Ave
Ste C
San Diego, CA 92103
Phone (619) 452-7050

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1104818046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 3RD AVE",
            "address_2": "SUITE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031407",
            "telephone_number": "619-452-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 3RD AVE",
            "address_2": "SUITE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031407",
            "telephone_number": "619-452-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "ROTHBERGER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "EXECUTIVE VP/CFO",
        "authorized_official_telephone_number": "858-678-6919",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "080000524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01505F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scripps Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.