San Diego Hospice & Palliative Care Corporation

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

0080000516 Issued in CA

Legal business name

SAN DIEGO HOSPICE & PALLIATIVE CARE CORPORATION

Practice address

4311 3Rd Ave
San Diego, CA 92103-1407

Phone

(619) 688-1600

Fax

(619) 688-0734

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Jones

Title

V.P. Finance/Cfo

Phone

(619) 688-1600

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1174526537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031407",
            "telephone_number": "619-688-1600",
            "fax_number": "619-688-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031407",
            "telephone_number": "619-688-1600",
            "fax_number": "619-688-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO HOSPICE & PALLIATIVE CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "V.P. FINANCE/CFO",
        "authorized_official_telephone_number": "619-688-1600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "080000162",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "0080000516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01511F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ84068Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• San Diego Homecare, LLC
• San Diego Homeopathy
• San Diego Hospice
• San Diego Hospice
• San Diego Hospice & Palliative Care
• San Diego Hospice & Pallliative Care
• San Diego Hospice & the Institute of Palliative Medicine
• San Diego Hospice and Palliative Care
• San Diego Hospice Care, Inc.
• San Diego Hospital Based Physicians Medical Association

• Community Based Hospice Care Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.