Hospice by the Sea, LTD

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

051647 Issued in CA

Legal business name

HOSPICE BY THE SEA, LTD

Practice address

312 S. Cedros Avenue
Ste 250
Solana Beach, CA 92075-1988

Phone

(898) 794-0195

Fax

(858) 794-0147

NPI assigned

Mar 3, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kathie E Jackson, R.N., CHPS, DPCS

Title

President

Phone

(858) 794-0195

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Hospice By The Sea Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 051647

Legal name

HOSPICE BY THE SEA LTD

Doing business as

HOSPICE BY THE SEA

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 3, 1994

Last certification

Jul 14, 2022

Ownership / control type

Non-Profit - Private

Organization structure

CorporationNon-profit

Incorporated

Sep 1, 1994 in CA

Enrollment address

312 S Cedros Ave
Ste 250
Solana Beach, CA 92075-1988

Listed as

Hospice by the SeaCCN 051647

Ownership

For-Profit

Certified

Dec 3, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1174590574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S. CEDROS AVENUE",
            "address_2": "STE 250",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751988",
            "telephone_number": "858-794-0195",
            "fax_number": "858-794-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S. CEDROS AVENUE",
            "address_2": "STE 250",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751988",
            "telephone_number": "898-794-0195",
            "fax_number": "858-794-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE BY THE SEA, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KATHIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-794-0195",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N., CHPS, DPCS"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "05-1647",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "051647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01647F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice By The Sea",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community Based Hospice Care Agency in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.

Verify at the official NPI Registry.