Organization Active NPI

Uni Care Hospice, Inc

  • Inpatient Hospice
  • San Marcos, CA
National Provider Identifier
1316358930
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 IncCCN 751705 · All quality measures
Ownership
Other
Certified
Oct 26, 2015
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2085671Uni Care Hospice Inc1510 S Escondido Blvd Ste 104, Escondido, CA 92025Certificate of waiverNov 17, 2026

National Provider Directory

National Provider Directory

Member 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.

NameRoleSinceShare
Patricia a Shader Individual Corporate DirectorClinical Director Dec 16, 2016
W-2 Managing Employee Dec 16, 2016
Jodi Rae Schloss Individual W-2 Managing EmployeeAd; Jan 21, 2024
Albert Keshavarzi Individual Corporate OfficerCeo/ President May 15, 2014
Genaro a Martinez Individual Contracted Managing EmployeeMD; 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.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unicare Healthcare IncYuma, AZ, CCN 037808 Home health agency 5% Or Greater Direct Ownership Interest (50%)
Operational/Managerial Control
Apr 12, 2024
Apr 12, 2024
Unicare Hospice IncYuma, AZ, CCN 031733 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.

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.

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

Verify at the official NPI Registry.