Madrone Hospice, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MADRONE HOSPICE, INC.

Practice address

210 W Center St
Yreka, CA 96097-2907

Phone

(530) 842-3466

Fax

(530) 842-3588

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Audrey Flower

Title

Executive Director

Phone

(530) 842-3160

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Madrone Adult Healthcare Other name

Tax ID family

Madrone Hospice Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Madrone Hospice, Inc

  • Community Based Hospice Care Agency
  • Yreka, CA
  • NPI 1275608614
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsey Schoelzel

  • Licensed Practical Nurse
  • Greeley, CO
  • NPI 1790244283
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366646671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 COLLIER CIR",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960972276",
            "telephone_number": "530-842-3160",
            "fax_number": "530-842-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W CENTER ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960972907",
            "telephone_number": "530-842-3466",
            "fax_number": "530-842-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADRONE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLOWER",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-842-3160"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70280F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madrone Adult Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jillyann Lowe
• Vince Lown
• Sonja Luckey
• Judith Anne Lyon
• Madrone Hospice, Inc
• Arvid R Magnuson, MD
• Monica Kay Mais, F.N.P
• Michael D Maloney, MD
• Susan Malony, MS, RD
• Judith Diane Manfredi, MS, LMFT

• Adult Day Care Clinic/Center in Yreka, CA
• Providers in Yreka, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.