Organization Active NPI

Silverado Hospice Coastal Valleys Inc.

  • Community Based Hospice Care Agency
  • Temecula, CA
National Provider Identifier
1376007880
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SILVERADO HOSPICE COASTAL VALLEYS INC.
Practice address
27710 Jefferson Ave Ste 101
Temecula, CA 92590-2669
Phone
(951) 394-0959
NPI assigned
Jan 29, 2019
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Carmin Tomassi
Title
Cfo
Phone
(949) 270-7200

Specialties & licenses 1

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

Addresses

Primary practice location

27710 Jefferson Ave Ste 101
Temecula, CA 92590-2669

Mailing address

6400 Oak Cyn Ste 200
Irvine, CA 92618-5233
Phone (949) 705-4918

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191014002363 CA Part A Provider - Hospice 8527301555 Practice locations: Temecula, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376007880. Details of each certification follow.

Hospice certification: CCN A01783

Legal name
SILVERADO HOSPICE COASTAL VALLEYS INC
Doing business as
SILVERADO HOSPICE - COASTAL VALLEYS
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 29, 2020
Last certification
Jul 29, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 3, 2019 in DE
Enrollment address
27710 Jefferson Ave
Ste 200
Temecula, CA 92590-4604

Care Compare: Hospice

Medicare Care Compare
Listed as
Silverado Hospice Coastal ValleysCCN A01783 · All quality measures
Ownership
For-Profit
Certified
Jul 29, 2020
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2211449Silverado Hospice Coastal Valleys Inc27710 Jefferson Ave, Ste 200, Temecula, CA 92590Certificate of waiverJan 26, 2027

National Provider Directory

National Provider Directory

Locations

27710 Jefferson Ave
Ste 101
Temecula, CA 92590
Phone (951) 394-0959

27710 Jefferson Ave
Ste 200
Temecula, CA 92590
Phone (951) 394-0959

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Angela D Collins Individual W-2 Managing EmployeeSr. VP Hospice Operations Jun 9, 2025
Operational/Managerial ControlSr. VP Hospice Operations Jun 9, 2025
Nancy Smith Family Trust Organization, Irvine, CA 5% Or Greater Indirect Ownership Interest Jun 1, 2025 9.29%
Kamran a Qureshi Individual Contracted Managing EmployeeMD; Jul 1, 2021
Loren B Shook Individual 5% Or Greater Indirect Ownership InterestCeo, Pres., Chairman of the Board Jun 1, 2025 17.53%
Corporate OfficerCeo, Pres., Chairman of the Board Jan 3, 2019 50%
W-2 Managing EmployeeCeo, Pres., Chairman of the Board Jan 3, 2019
Catherine Quinn Davis Individual Corporate DirectorVP Revenue Cycle Management Jul 15, 2019
W-2 Managing EmployeeVP Revenue Cycle Management Jul 15, 2019
Heather Kemnetz Individual W-2 Managing EmployeeVP Clinical Operations Feb 23, 2026
Silverado Senior Living Holdings Inc Organization, Irvine, CA Corporation 5% Or Greater Direct Ownership Interest Jan 3, 2019 100%
Richard Riordan Administrative Trust Organization, Irvine, CA 5% Or Greater Indirect Ownership Interest Jun 1, 2025 26.01%
Carmin Tomassi Individual Corporate OfficerSecretary, Interim Cfo Jan 15, 2022
W-2 Managing EmployeeSecretary, Interim Cfo Jan 15, 2022
C Shook Trust Organization, Irvine, CA 5% Or Greater Indirect Ownership Interest Jun 1, 2025 12.58%
Silverado Shareholders LLC Organization, Irvine, CA LLC 5% Or Greater Indirect Ownership Interest Jun 1, 2025 90.07%
John C Lewis Individual Corporate DirectorBoard Member Jan 3, 2019
Vanessa Joy Roberts Individual W-2 Managing EmployeeAd; Sep 2, 2025
Sean Robledo Individual W-2 Managing EmployeeDirector Patient Care Services Nov 10, 2025
Angela M Mouton Individual Operational/Managerial ControlSr VP Palliative Operations Jul 1, 2025
RLH Silverado LP Organization, Los Angeles, CA 5% Or Greater Indirect Ownership Interest Jun 1, 2025 47.12%
Wayne Sanner Individual Corporate OfficerCeo, Designate Apr 29, 2025
Corporate DirectorCeo, Designate Apr 29, 2025
W-2 Managing EmployeeCeo, Designate Apr 29, 2025
Brian Stern Individual Corporate DirectorBoard Member May 23, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1376007880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 OAK CYN STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926185233",
            "telephone_number": "949-705-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27710 JEFFERSON AVE STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902669",
            "telephone_number": "951-394-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERADO HOSPICE COASTAL VALLEYS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "TOMASSI",
        "authorized_official_first_name": "CARMIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-270-7200"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.