Organization Active NPI

Crestline Hospice, Inc.

  • Community Based Hospice Care Agency
  • San Diego, CA
National Provider Identifier
1154878189
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CRESTLINE HOSPICE, INC.
Practice address
7675 Dagget St Ste 370
San Diego, CA 92111-2260
Phone
(619) 550-3570
Fax
(619) 550-3714
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
April Bolles
Title
Ceo
Phone
(619) 550-3570

Specialties & licenses 1

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

Addresses

Primary practice location

7675 Dagget St Ste 370
San Diego, CA 92111-2260

Mailing address

7675 Dagget St Ste 370
San Diego, CA 92111-2260
Phone (619) 550-3570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171005001802 CA Part A Provider - Hospice 4284909979 Practice locations: San Diego, CA

Hospice certification: CCN 921792

Legal name
CRESTLINE HOSPICE, INC.
Doing business as
RADIANT HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 9, 2018
Last certification
Feb 9, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 6, 2016 in CA
Enrollment address
7675 Dagget St
Ste 370
San Diego, CA 92111-2260

Care Compare: Hospice

Medicare Care Compare
Listed as
Radiant HospiceCCN 921792 · All quality measures
Ownership
For-Profit
Certified
Feb 9, 2018
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

964 5th Ave
Ste 304
San Diego, CA 92101
Phone (619) 550-3570

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
April M Bolles Individual 5% Or Greater Direct Ownership InterestOwner Oct 1, 2018 100%
Corporate OfficerCeo, Cfo, Secretary, Administrat Oct 1, 2018 100%
Corporate DirectorGoverning Body Member, Ceo, Cfo, Oct 1, 2018 100%
W-2 Managing EmployeeCeo, Cfo, Secretary, Administrat Oct 1, 2018 100%
Danielle M Greer Individual W-2 Managing EmployeeChief Administrative Officer Jan 30, 2024 100%

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1154878189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7675 DAGGET ST STE 370",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112260",
            "telephone_number": "619-550-3570",
            "fax_number": "619-550-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7675 DAGGET ST STE 370",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112260",
            "telephone_number": "619-550-3570",
            "fax_number": "619-550-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTLINE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "BOLLES",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-550-3570"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.