Silverado Hospice, Inc
Organization Active NPI Community Based Hospice Care Agency · San Diego, CA
NPI 1386786150 · NPPES record last updated Sep 10, 2025
Key facts
- NPI
- 1386786150
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 550000553 (CA)
- Legal business name
- SILVERADO HOSPICE, INC
- Practice address
- 5471 Kearny Villa Rd Ste 300
San Diego, CA 92123-1141 - Phone
- (858) 565-1005
- Fax
- (858) 565-1063
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Carmin Tomassi
- Title
- Cfo
- Phone
- (949) 240-7200
Owners & managing parties with NPI records 1
-
Loren Novak, D.O.
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 1
Facilities with the same owner 7
Affiliated clinicians 8
-
Sam Baroudi, MD
-
Bashar Mirza, M.D.
-
Jeffrey L. Newman, M.D.
-
Loren Novak, D.O.
-
Saleem Rajper, M.D.
-
Taib Rawi, D.O.
-
Tsehaye Seare, MD
-
Heston Alexander Schuetz, M.D.
Medicare Care Compare: Hospice
- Listed as
- Silverado Hospice San Diego
- Ownership
- For-Profit
- Certified
- Dec 24, 2007
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Hospice certification: CCN 551522
- Legal name
- SILVERADO HOSPICE, INC.
- Doing business as
- SILVERADO HOSPICE - SAN DIEGO
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 24, 2007
- Last certification
- May 18, 2018
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 5471 Kearny Villa Rd
Ste 300
San Diego, CA 92123-1141
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Angela D Collins |
W-2 Managing Employee |
Jun 9, 2025 | |
| Nancy Smith Family Trust |
5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 9.29% |
| Ingrid McDonald |
W-2 Managing Employee |
Jan 26, 2026 | |
| Loren B Shook |
5% Or Greater Indirect Ownership Interest |
Jun 1, 2025 | 17.53% |
| Corporate Officer |
Apr 16, 2007 | 50% | |
| Corporate Director |
Apr 16, 2007 | 50% | |
| W-2 Managing Employee |
Apr 16, 2007 | 50% | |
| RLH Silverado L.P. |
5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 47.12% |
| Catherine Quinn Davis |
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 6, 2011 | 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% |
| Loren S Novak |
Contracted Managing Employee |
Jan 1, 2007 | |
| John C Lewis |
Corporate Director |
Apr 16, 2007 | 25% |
| Silverado Shareholders LLC |
5% Or Greater Indirect Ownership Interest | Jun 1, 2025 | 90.07% |
| Wayne Sanner |
Corporate Officer |
Apr 29, 2025 | |
| W-2 Managing Employee |
Apr 29, 2025 | ||
| Brian Stern |
Corporate Director |
May 23, 2025 | |
| Lisa Ann Wappler |
W-2 Managing Employee |
Dec 1, 2025 | |
| Operational/Managerial Control |
Dec 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070426000636 | CA | Part a Provider - Hospice | 9537071204 |
1 other NPI on this enrollment Practice locations: San Diego, CA |
National Provider Directory
- Tax ID family
- Silverado Hospice
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 550000553 | CA | Yes |
Addresses
Primary practice location
5471 Kearny Villa Rd Ste 300
San Diego, CA 92123-1141
Mailing address
6400 Oak Canyon
200
Irvine, CA 92618-5233
Phone (949) 240-7200
Other names
- Silverado Hospice San Diego
Other providers in San Diego, CA
- Maranda Silver
- Matthew Abraham Silver
- Patti J Silver
- Sarah Christine Silver
- Susan D. Silver
- Silvergate Medical Corp.
- Brooke Silveria
- Camille Silverio
- Silverlining Psychiatry Medical Group
- Luke Silverman-Lloyd
All providers in San Diego, CA · Community Based Hospice Care Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.