Active NPI
Crestline Hospice, Inc.
- Community Based Hospice Care Agency
- San Diego, CA
National Provider Identifier
1154878189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Hospice
- Ownership
- For-Profit
- Certified
- Feb 9, 2018
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| April M Bolles | 5% Or Greater Direct Ownership Interest | Oct 1, 2018 | 100% |
| Corporate Officer | Oct 1, 2018 | 100% | |
| Corporate Director | Oct 1, 2018 | 100% | |
| W-2 Managing Employee | Oct 1, 2018 | 100% | |
| Danielle M Greer | W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.