Active NPI
San Jose Care Hospice
- Community Based Hospice Care Agency
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Darius K Joshi, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Hospice
- Ownership
- For-Profit
- Certified
- Jan 29, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Darius K Joshi | 5% Or Greater Direct Ownership Interest | Apr 20, 2021 | 100% |
| Corporate Officer | Apr 20, 2021 | ||
| Corporate Director | Apr 20, 2021 | ||
| W-2 Managing Employee | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Ann Arbor, MI
- NPI 1750483061
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Ann Arbor, MI
- NPI 1750483061
-
- Physical Therapist
- San Francisco, CA
- NPI 1699829549
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
- Ashourina Samuel, MFT
- Christina Maher Samuel, NP-RN
- Kaycee Kealoha Lokelani San Agustin-Nordmeier, PHARMD
- Stefanni San Agustin
- Rachael Anne San Filippo
- San Jose City College Student Health Services
- San Jose Conservation Corps
- San Jose Counseling Center: a Marriage Family Therapy Corporation
- San Jose Counseling, Inc.
- San Jose Dental Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.