Organization Active NPI

Hospice Care of the Coast Inc

  • Community Based Hospice Care Agency
  • Escondido, CA
National Provider Identifier
1346690153
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
3897516 Issued in CA
Legal business name
HOSPICE CARE OF THE COAST INC
Practice address
1340 W Valley Pkwy Ste 103
Escondido, CA 92029-2135
Phone
(760) 294-3422
Fax
(760) 294-1166
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Authorized official

Name
Mrs. Mari Dee Sandra Concepcion Cid, RN, MSN
Title
Ceo/Owner
Phone
(858) 344-5658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 3897516 CA Primary

Addresses

Primary practice location

1340 W Valley Pkwy Ste 103
Escondido, CA 92029-2135

Mailing address

1340 W Valley Pkwy Ste 103
Escondido, CA 92029-2135
Phone (760) 294-3422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170920002113 CA Part A Provider - Hospice 5193012961 Practice locations: Escondido, CA

Hospice certification: CCN A01506

Legal name
HOSPICE CARE OF THE COAST INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 17, 2018
Last certification
Dec 17, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 21, 2016 in CA
Enrollment address
215 S Hickory St
Ste 104
Escondido, CA 92025-4360

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice Care of the Coast IncCCN A01506
Ownership
For-Profit
Certified
Dec 17, 2018
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1340 W Valley Pkwy
Ste 103
Escondido, CA 92029
Phone (760) 294-3422

215 S Hickory St
Ste 200
Escondido, CA 92025

215 S Hickory St
Ste 104
Escondido, CA 92025
Phone (760) 294-3422

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mari Dee Sandra C Cid Individual 5% Or Greater Direct Ownership InterestOwner Apr 21, 2016 100%
Corporate OfficerPresident/Cfo/Secretary Apr 21, 2016 100%
W-2 Managing EmployeeCeo/Administrator/DPCS Apr 21, 2016 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1346690153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 W VALLEY PKWY STE 103",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920292135",
            "telephone_number": "760-294-3422",
            "fax_number": "760-294-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 W VALLEY PKWY STE 103",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920292135",
            "telephone_number": "760-294-3422",
            "fax_number": "760-294-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE CARE OF THE COAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "CID",
        "authorized_official_first_name": "MARI DEE SANDRA",
        "authorized_official_middle_name": "CONCEPCION",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "858-344-5658",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "3897516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.