Active NPI
Hospice Care of the Coast Inc
- Community Based Hospice Care Agency
- Escondido, CA
National Provider Identifier
1346690153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 3897516
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- For-Profit
- Certified
- Dec 17, 2018
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mari Dee Sandra C Cid | 5% Or Greater Direct Ownership Interest | Apr 21, 2016 | 100% |
| Corporate Officer | Apr 21, 2016 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.