Organization Active NPI

Qura Hospice Inc

  • Community Based Hospice Care Agency
  • El Dorado Hills, CA
National Provider Identifier
1336764620
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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)CodeLicenseStatePrimary
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 Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Dec 15, 2022 Change of OwnershipThis provider was the seller First Call Hospice SouthCCN B31707, CA, NPI 1407565997

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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

Verify at the official NPI Registry.