Active NPI
Qura Hospice Inc
- Community Based Hospice Care Agency
- El Dorado Hills, CA
National Provider Identifier
1336764620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- QURA HOSPICE INC
- Practice address
- 4993 Golden Foothill Pkwy Ste 3
El Dorado Hills, CA 95762-9642 - Phone
- (916) 281-4414
- Fax
- (916) 358-7470
- NPI assigned
- Jun 11, 2020
- Last updated
- Jun 11, 2020
- 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
- Mrs. Natalie Rachkov
- Title
- Cfo
- Phone
- (916) 735-2886
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
4993 Golden Foothill Pkwy Ste 3
El Dorado Hills, CA 95762-9642
Mailing address
4993 Golden Foothill Pkwy Ste 3
El Dorado Hills, CA 95762-9642
Phone (916) 281-4414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Dec 15, 2022 | Change of Ownership | First Call Hospice South |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba First Call Hospice South
- Community Based Hospice Care Agency
- El Dorado Hills, CA
- NPI 1407565997
Sold to, 2022-12-15
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591833600000",
"number": "1336764620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4993 GOLDEN FOOTHILL PKWY STE 3",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957629642",
"telephone_number": "916-281-4414",
"fax_number": "916-358-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4993 GOLDEN FOOTHILL PKWY STE 3",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957629642",
"telephone_number": "916-281-4414",
"fax_number": "916-358-7470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QURA HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-11",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A",
"authorized_official_last_name": "RACHKOV",
"authorized_official_first_name": "NATALIE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "916-735-2886",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.