Organization Active NPI

San Jose Care Hospice

  • Community Based Hospice Care Agency
  • San Jose, CA
National Provider Identifier
1164021226
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SAN JOSE CARE HOSPICE
Practice address
1101 S. Winchester Blvd J216
San Jose, CA 95128
Phone
(800) 825-8556
Fax
(408) 935-2424
NPI assigned
Oct 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Dr. Darius K Joshi, MDNPI 1750483061
Title
Ceo
Phone
(248) 756-5221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1101 S. Winchester Blvd J216
San Jose, CA 95128

Mailing address

1101 S. Winchester Blvd J216
San Jose, CA 95128
Phone (800) 825-8556

Other names 1

  • Redwood Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201116001332 CA Part A Provider - Hospice 2567873987 Practice locations: San Jose, CA

Hospice certification: CCN B21550

Legal name
SAN JOSE CARE HOSPICE
Doing business as
REDWOOD HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 29, 2021
Last certification
Jan 29, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 16, 2020 in CA
Enrollment address
1101 S Winchester Blvd
Ste J216
San Jose, CA 95128-3904

Care Compare: Hospice

Medicare Care Compare
Listed as
Redwood HospiceCCN B21550
Ownership
For-Profit
Certified
Jan 29, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

99 Almaden Blvd
Ste 660
San Jose, CA 95113
Phone (248) 756-5221

1101 S Winchester Blvd
Ste J216
San Jose, CA 95128
Phone (408) 458-9468

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Darius K Joshi Individual 5% Or Greater Direct Ownership InterestCeo Apr 20, 2021 100%
Corporate OfficerCeo/Cfo, Secretary 100% Owner Apr 20, 2021
Corporate DirectorCeo/Cfo, Secretary 100% Owner Apr 20, 2021
W-2 Managing EmployeeCeo/Cfo, Secretary 100% Owner Apr 20, 2021

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1164021226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S. WINCHESTER BLVD J216",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "800-825-8556",
            "fax_number": "408-935-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S. WINCHESTER BLVD J216",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95128",
            "telephone_number": "800-825-8556",
            "fax_number": "408-935-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE CARE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "DARIUS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-756-5221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.