Life Care Hospice Services, LLC.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LIFE CARE HOSPICE SERVICES, LLC.

Practice address

205 W 5TH Ave Ste 206
Escondido, CA 92025-4849

Phone

(760) 975-3769

Fax

(760) 975-3781

NPI assigned

Sep 16, 2020

Organization subpart

No

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

Authorized official

Name

Paz Rodriguez

Title

Owner

Phone

(760) 975-3769

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31641

Legal name

LIFE CARE HOSPICE SERVICES, LLC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 7, 2021

Last certification

Dec 7, 2021

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Jul 17, 2020 in CA

Enrollment address

205 W 5TH Ave
Ste 206
Escondido, CA 92025-4849

Listed as

Life Care Hospice Services LLCCCN B31641

Certified

Dec 7, 2021

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": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1255947172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W 5TH AVE STE 206",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254849",
            "telephone_number": "760-975-3769",
            "fax_number": "760-975-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 5TH AVE STE 206",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254849",
            "telephone_number": "760-975-3769",
            "fax_number": "760-975-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE HOSPICE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "PAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-975-3769"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.GMAIL.COM",
            "affiliation": "N",
            "address_1": "205 W 5th Ave Ste 206",
            "city": "Escondido",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920254849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cyril Licudine
• Elizabeth Ann Liebenberg, P.T.
• Jennifer Lien
• Tamar Lietzow, PHARMD
• Life Care Home Health Services, LLC.
• Kirsten Like, AMFT 129189
• John Lilley, M.D.
• Lim Chiropractic Professional Corporation
• Hoon Lim, D.C.
• Hyeseul Lim

• Community Based Hospice Care Agency in Escondido, CA
• Providers in Escondido, 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 Sep 16, 2020; 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.