Active NPI
Uni Care Hospice, Inc
- Inpatient Hospice
- San Marcos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Inpatient Hospice
- Legal business name
- UNI CARE HOSPICE, INC
- Practice address
- 1165 Linda Vista Dr
102
San Marcos, CA 92078-3821 - Phone
- (760) 566-3345
- Fax
- (760) 566-3347
- NPI assigned
- May 16, 2014
- Last updated
- Apr 12, 2024
- 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
- Patricia A Shader, RN
- Title
- Director of Clinical Operations
- Phone
- (760) 566-3345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Inpatient Hospice | 315D00000X | Primary |
Addresses
Primary practice location
1165 Linda Vista Dr
102
San Marcos, CA 92078-3821
Mailing address
1510 S Escondido Blvd Ste 104
Escondido, CA 92025-6017
Phone (760) 566-8867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140624001900 | CA | Part A Provider - Hospice | 1759505225 | Practice locations: El Centro, CA; Escondido, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1316358930. Details of each certification follow.
Hospice certification: CCN 751705
- Legal name
- UNI CARE HOSPICE, INC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 26, 2015
- Last certification
- Sep 27, 2018
- Ownership / control type
- Other
- Organization structure
- Corporation
- Incorporated
- Apr 1, 2014 in CA
- Enrollment address
- 1510 S Escondido Blvd
Ste 104
Escondido, CA 92025-6017
Care Compare: Hospice
Medicare Care Compare- Listed as
- Uni Care Hospice Inc
- Ownership
- Other
- Certified
- Oct 26, 2015
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2085671 | Uni Care Hospice Inc | Certificate of waiver | Nov 17, 2026 |
National Provider Directory
National Provider DirectoryMember organizations 2
Organizations listed as members of this organization in the National Provider Directory.
Locations
1600 S Imperial Ave
Ste 12
El Centro, CA 92243
Phone (760) 353-5130
1510 S Escondido Blvd
Ste 104
Escondido, CA 92025
Phone (760) 566-3345
1165 Linda Vista Dr
Ste 102
San Marcos, CA 92078
Phone (760) 566-3345
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Patricia a Shader | Corporate Director | Dec 16, 2016 | |
| W-2 Managing Employee | Dec 16, 2016 | ||
| Jodi Rae Schloss | W-2 Managing Employee | Jan 21, 2024 | |
| Albert Keshavarzi | Corporate Officer | May 15, 2014 | |
| Genaro a Martinez | Contracted Managing Employee | Oct 30, 2019 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1235157843
Contracted Managing Employee
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Unicare Healthcare Inc | Home health agency | 5% Or Greater Direct Ownership Interest (50%) Operational/Managerial Control |
Apr 12, 2024 Apr 12, 2024 |
| Unicare Hospice Inc | Hospice | 5% Or Greater Direct Ownership Interest (50%) Operational/Managerial Control |
Apr 12, 2024 Apr 12, 2024 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Yuma, AZ
- NPI 1043846801
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Community Based Hospice Care Agency
- Yuma, AZ
- NPI 1023644887
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Escondido, CA
- NPI 1144949421
-
- Family Nurse Practitioner
- Escondido, CA
- NPI 1457996126
Affiliated clinicians 7
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": "1400198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712880000000",
"number": "1316358930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 S ESCONDIDO BLVD STE 104",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920256017",
"telephone_number": "760-566-8867",
"fax_number": "760-566-3347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 LINDA VISTA DR",
"address_2": "102",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920783821",
"telephone_number": "760-566-3345",
"fax_number": "760-566-3347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNI CARE HOSPICE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-16",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A",
"authorized_official_last_name": "SHADER",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
"authorized_official_telephone_number": "760-566-3345",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.