Active NPI
Silverado Hospice Coastal Valleys Inc.
- Community Based Hospice Care Agency
- Temecula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2025
- 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
- Carmin Tomassi
- Title
- Cfo
- Phone
- (949) 270-7200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Valleys
- Ownership
- For-Profit
- Certified
- Jul 29, 2020
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2211449 | Silverado Hospice Coastal Valleys Inc | Certificate of waiver | Jan 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Angela D Collins | W-2 Managing Employee | Jun 9, 2025 | |
| Operational/Managerial Control | Jun 9, 2025 | ||
| Nancy Smith Family Trust | 5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 9.29% |
| Kamran a Qureshi | Contracted Managing Employee | Jul 1, 2021 | |
| Loren B Shook | 5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 17.53% |
| Corporate Officer | Jan 3, 2019 | 50% | |
| W-2 Managing Employee | Jan 3, 2019 | ||
| Catherine Quinn Davis | Corporate Director | Jul 15, 2019 | |
| W-2 Managing Employee | Jul 15, 2019 | ||
| Heather Kemnetz | W-2 Managing Employee | Feb 23, 2026 | |
| Silverado Senior Living Holdings Inc | 5% Or Greater Direct Ownership Interest | Jan 3, 2019 | 100% |
| Richard Riordan Administrative Trust | 5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 26.01% |
| Carmin Tomassi | Corporate Officer | Jan 15, 2022 | |
| W-2 Managing Employee | Jan 15, 2022 | ||
| C Shook Trust | 5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 12.58% |
| Silverado Shareholders LLC | 5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 90.07% |
| John C Lewis | Corporate Director | Jan 3, 2019 | |
| Vanessa Joy Roberts | W-2 Managing Employee | Sep 2, 2025 | |
| Sean Robledo | W-2 Managing Employee | Nov 10, 2025 | |
| Angela M Mouton | Operational/Managerial Control | Jul 1, 2025 | |
| RLH Silverado LP | 5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 47.12% |
| Wayne Sanner | Corporate Officer | Apr 29, 2025 | |
| Corporate Director | Apr 29, 2025 | ||
| W-2 Managing Employee | Apr 29, 2025 | ||
| Brian Stern | Corporate Director | 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.
-
- Internal Medicine Physician
- Hemet, CA
- NPI 1326156472
Contracted Managing Employee
Facilities with the same owner 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Silverado Hospice San Diego
- Community Based Hospice Care Agency
- San Diego, CA
- NPI 1386786150
C Shook Trust, Nancy Smith Family Trust, Richard Riordan Administrative Trust, Silverado Senior Living Holdings Inc
-
dba Silverado Hospice Orange County
- Community Based Hospice Care Agency
- Irvine, CA
- NPI 1679570386
C Shook Trust, Nancy Smith Family Trust, Richard Riordan Administrative Trust, RLH Silverado LP, Silverado Senior Living Holdings Inc, Silverado Shareholders LLC
-
dba Silverado Hospice Los Angeles
- Community Based Hospice Care Agency
- Encino, CA
- NPI 1841410164
C Shook Trust, Nancy Smith Family Trust, Richard Riordan Administrative Trust, RLH Silverado LP, Silverado Senior Living Holdings Inc, Silverado Shareholders LLC
-
dba Silverado Hospice South Houston
- Community Based Hospice Care Agency
- Stafford, TX
- NPI 1588832034
C Shook Trust, Nancy Smith Family Trust, Richard Riordan Administrative Trust, RLH Silverado LP, Silverado Senior Living Holdings Inc, Silverado Shareholders LLC
-
dba Silverado Hospice Austin
- Community Based Hospice Care Agency
- Austin, TX
- NPI 1922435981
C Shook Trust, Nancy Smith Family Trust, Richard Riordan Administrative Trust, RLH Silverado LP, Silverado Senior Living Holdings Inc, Silverado Shareholders LLC
-
dba Silverado Hospice Dallas
- Community Based Hospice Care Agency
- Addison, TX
- NPI 1295912855
C Shook Trust, Nancy Smith Family Trust, Richard Riordan Administrative Trust, RLH Silverado LP, Silverado Senior Living Holdings Inc, Silverado Shareholders LLC
-
dba Silverado Hospice North Houston
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1649204678
C Shook Trust, Nancy Smith Family Trust, Richard Riordan Administrative Trust, RLH Silverado LP, Silverado Senior Living Holdings Inc, Silverado Shareholders LLC
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Bonsall, CA
- NPI 1922082189
Hospice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.